DR. JOHN WILLIS PUCKETT MD
NPI 1306938022
Surgery - Vascular Surgery in Newport Beach, CA

Q: What is John Puckett's NPI number?

The NPI number for John Puckett is 1306938022. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is John Puckett's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for John Puckett was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 29, 2006PECOS Enrolled

520 SUPERIOR AVE, #370, NEWPORT BEACH, CA 92663(949) 574-7176(949) 574-7180 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Willis Puckett Md NPPES

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

DR. JOHN WILLIS PUCKETT MD (NPI 1306938022) is an individual vascular surgery provider in Newport Beach, California, licensed in California (G38172A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306938022

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JOHN WILLIS PUCKETTCredential: MD

Location Address520 SUPERIOR AVE, #370Newport Beach, CA 92663-3637

Mailing Address520 Superior Ave, #370Newport Beach, CA 92663-3637 · (949) 574-7176 · Fax (949) 574-7180

Phone(949) 574-7176

Fax(949) 574-7180

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJanuary 27, 2014

✔ NPI 1306938022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · G38172A

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

520 SUPERIOR AVE, Newport Beach, CA 92663

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Other Identifiers 2

Medicare PING38172ACA

Medicare UPINA47381

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Willis Puckett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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 20

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

DR. SEVITLANA SAFAEI MD

Internal Medicine

520 SUPERIOR AVE, STE 205
NEWPORT BEACH, CA 92663

Orange County (949) 650-2462

DR. KEVIN KHEDER M.D.

Internal Medicine (Interventional Cardiology)

520 SUPERIOR AVE
NEWPORT BEACH, CA 92663

Orange County (949) 478-7373

DR. RAJESH S BANKER M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

520 SUPERIOR AVE, SUITE 330
NEWPORT BEACH, CA 92663

Orange County (949) 478-7373

PRIVATE PHYSICIANS MEDICAL ASSOCIATES

Internal Medicine (Pulmonary Disease)

520 SUPERIOR AVE, SUITE 285
NEWPORT BEACH, CA 92663

Orange County (949) 566-8179

JERALD FREDRICK SIGALA M.D.

Internal Medicine (Nephrology)

520 SUPERIOR AVE, SUITE 340
NEWPORT BEACH, CA 92663

Orange County (949) 631-9215

LI SI ZENG PA-C

Physician Assistant (Medical)

520 SUPERIOR AVE, SUITE 270
NEWPORT BEACH, CA 92663

Orange County (949) 574-9300

ORANGE COUNTY VASCULAR SPECIALISTS, INC.

Surgery (Vascular Surgery)

520 SUPERIOR AVE, SUITE 370
NEWPORT BEACH, CA 92663

Orange County (949) 574-7176

MIKA MOORE AU.D.

Audiologist-Hearing Aid Fitter

520 SUPERIOR AVE, STE. 190
NEWPORT BEACH, CA 92663

Orange County (949) 548-0352

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 John Puckett's NPI number?

The NPI number for John Puckett is 1306938022. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is John Puckett located?

John Puckett practices at 520 Superior Ave #370, Newport Beach, CA 92663. The listed phone number is (949) 574-7176.

What is John Puckett's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is John Puckett enrolled in Medicare?

Yes. John Puckett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Puckett was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.