MICHAEL RYAN LISING PINGOL PA-C
NPI 1265969315
Physician Assistant in Fountain Valley, CA

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
11160 WARNER AVE STE 311, FOUNTAIN VALLEY, CA 92708(714) 850-7300(714) 850-7310 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2020, May 19, 2017 (2 updates tracked since 2017).

About Michael Ryan Lising Pingol Pa-c NPPES

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

MICHAEL RYAN LISING PINGOL PA-C (NPI 1265969315) is an individual physician assistant in Fountain Valley, California, licensed in California (PA54794) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265969315
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL RYAN LISING PINGOLCredential: PA-C
Location Address11160 WARNER AVE STE 311Fountain Valley, CA 92708-4055
Mailing Address11160 Warner Ave Ste 311Fountain Valley, CA 92708-4055 · (714) 850-7300 · Fax (714) 850-7310
Fax(714) 850-7310
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 19, 2017
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1265969315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA54794
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11160 WARNER AVE STE 311, Fountain Valley, CA 92708

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

Michael Ryan Lising Pingol Pa-c 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 ID4183982010
PECOS Enrollment IDI20171221002154
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
54 services15 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
54 services15 patients
Exploration of spine fusion 22830
Exploration of spine fusion is a procedure to examine a previously performed spinal fusion surgery. The process checks the success of the fusion or finds potential issues, such as hardware failure or non-union of the fused vertebrae. It's a diagnostic tool to ensure healing.
20 services16 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
18 services15 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
17 services15 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 11

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

Social Worker (Clinical)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Physician Assistant (Surgical)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Physician Assistant (Surgical)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery (Sports Medicine)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Physical Therapist
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265969315, enumerated as an "individual" on May 19, 2017.

The provider is located at 11160 WARNER AVE STE 311 FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 850-7300.

Physician Assistant with taxonomy code 363A00000X.