ALEXANDER MICHAEL LUSTBERG M.D.
NPI 1225009301
Internal Medicine - Gastroenterology in Santa Rosa, CA

Q: What is Alexander Lustberg's NPI number?

The NPI number for Alexander Lustberg is 1225009301. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Alexander Lustberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment

500 DOYLE PARK DR, SUITE G04, SANTA ROSA, CA 95405(707) 303-8349(707) 303-2694 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Apr 28, 2021, Feb 1, 2021 and 1 more (4 updates tracked since 2017).

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About Alexander Michael Lustberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER MICHAEL LUSTBERG M.D. (NPI 1225009301) is an individual gastroenterology provider in Santa Rosa, California, licensed in California (A86284) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1225009301

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameALEXANDER MICHAEL LUSTBERGCredential: M.D.

Location Address500 DOYLE PARK DR, SUITE G04Santa Rosa, CA 95405-4558

Mailing Address500 Doyle Park DrSanta Rosa, CA 95405-4558

Phone(707) 303-8349

Fax(707) 303-2694

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 27, 2006

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1225009301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in CA · A86284✔ Licensed in CA · A-86284

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

500 DOYLE PARK DR, Santa Rosa, CA 95405

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Secondary Practice Location 1

Location 134 Mark West Springs Rd Fl 2Santa Rosa, CA 95403-1766 · Phone (707) 541-7900 · Fax (707) 573-5411

Other Identifiers 1

Medicaid00A862840CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Michael Lustberg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113991563

PECOS Enrollment IDI20040823000661

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

181 services180 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

164 services157 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

164 services160 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

138 services106 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

61 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

56 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

48 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services38 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

37 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services28 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

14 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEO ARTHUR SMITH MD

Family Medicine

500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405

Sonoma County (707) 303-8360

CYNTHIA R. INGELS MSN,N.P.

Nurse Practitioner (Family)

500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405

Sonoma County (707) 579-1102

DR. JAMES CHARLES DEVORE MD

Family Medicine

500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405

Sonoma County (707) 303-8360

DR. TOMAS VASILIAUSKAS M.D.

Internal Medicine (Cardiovascular Disease)

500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405

Sonoma County (707) 576-7100

ERAN MATALON M.D.

Internal Medicine

500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405

Sonoma County (707) 545-1700

RAMZI KHALIL DEEIK M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405

Sonoma County (707) 255-8825

DR. JOEL E PAINE MD

Internal Medicine

500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405

Sonoma County (707) 303-8344

ANNADEL MEDICAL GROUP, INC

Pediatrics

500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405

Sonoma County (707) 544-6090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Lustberg's NPI number?

The NPI number for Alexander Lustberg is 1225009301. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Alexander Lustberg located?

Alexander Lustberg practices at 500 Doyle Park Dr Suite G04, Santa Rosa, CA 95405. The listed phone number is (707) 303-8349.

What is Alexander Lustberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alexander Lustberg enrolled in Medicare?

Yes. Alexander Lustberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexander Lustberg was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.