SUSAN WOODMANSEE M.D
NPI 1275552580
Emergency Medicine in Antioch, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
3901 LONE TREE WAY, ANTIOCH, CA 94509(925) 779-7273 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 9, 2021, Oct 9, 2020 (2 updates tracked since 2020).

About Susan Woodmansee M.d NPPES

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

SUSAN WOODMANSEE M.D (NPI 1275552580) is an individual emergency medicine provider in Antioch, California, licensed in California (A55503) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Baylor College Of Medicine (1994).

NPPES Registry Identity

NPI1275552580
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN WOODMANSEECredential: M.D
Location Address3901 LONE TREE WAYAntioch, CA 94509-6200
Mailing Address2100 Powell St, Ste 920Emeryville, CA 94608-1826 · (510) 350-2777
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1994
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1275552580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A55503
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.
3901 LONE TREE WAY, Antioch, CA 94509

Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 499-6440

Other Identifiers 1

Medicaid00A555030CA

Accepted Insurance

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

Susan Woodmansee 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 ID42318958
PECOS Enrollment IDI20070530000590
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
338 services336 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

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.

Pharmacist
3901 LONE TREE WAY
ANTIOCH, CA 94509
Emergency Medicine
3901 LONE TREE WAY
ANTIOCH, CA 94509
Emergency Medicine
3901 LONE TREE WAY
ANTIOCH, CA 94509
Registered Nurse
3901 LONE TREE WAY
ANTIOCH, CA 94509
Emergency Medicine
3901 LONE TREE WAY
ANTIOCH, CA 94509
Anesthesiology
3901 LONE TREE WAY
ANTIOCH, CA 94509
Hospitalist
3901 LONE TREE WAY
ANTIOCH, CA 94509
Physician Assistant (Medical)
3901 LONE TREE WAY
ANTIOCH, CA 94509

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 Susan Woodmansee's NPI number?

The NPI number for Susan Woodmansee is 1275552580. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Susan Woodmansee located?

Susan Woodmansee practices at 3901 Lone Tree Way, Antioch, CA 94509. The listed phone number is (925) 779-7273.

What is Susan Woodmansee's specialty?

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

Is Susan Woodmansee enrolled in Medicare?

Yes. Susan Woodmansee 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.

What insurance does Susan Woodmansee accept?

Health plans from Molina Healthcare list Susan Woodmansee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Woodmansee was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.