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ATHENA MIKROS MD
NPI 1275053712
Emergency Medicine in San Diego, CA

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Dec 6, 2022, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Athena Mikros Md NPPES

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

ATHENA MIKROS MD (NPI 1275053712) is an individual emergency medicine provider in San Diego, California, licensed in North Carolina (2021-0311) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1275053712
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameATHENA MIKROSCredential: MD
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing AddressPsc 475 Box 1375Fpo, AP 96350-1375
Phone(619) 532-6400
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateJune 26, 2017
Last NPPES UpdateDecember 11, 20245 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1275053712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2021-0311
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
34800 BOB WILSON DR, San Diego, CA 92134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Athena Mikros Md 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 ID9032647151
PECOS Enrollment IDI20250116001815
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Athena Mikros reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Encinitas Emergency Medicine, Inc.
23 mi
Emergency Medicine
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1598362568 (760) 257-5750
Team Physicians Of Northern California Medical Group Inc
435 mi
Emergency Medicine
5000 HOPYARD RD, SUITE 100
Pleasanton, CA 94588
  • Reassigned Medicare billing, California enrollment
  • 202 clinicians in this Medicare group
NPI 1649692716 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Athena Mikros's NPI number?

The NPI number for Athena Mikros is 1275053712. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Athena Mikros located?

Athena Mikros practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6400.

What is Athena Mikros's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Athena Mikros enrolled in Medicare?

Yes. Athena Mikros 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.

Which organizations bill Medicare for Athena Mikros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Mikros reassigns Medicare benefits to 2 organizations: Encinitas Emergency Medicine, Inc. (Encinitas, CA) and Team Physicians Of Northern California Medical Group Inc (Pleasanton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Athena Mikros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Athena Mikros was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.