ANTHONY ESSILFIE M.D.
NPI 1396155982
Orthopaedic Surgery - Sports Medicine in Loma Linda, CA

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11406 LOMA LINDA DR STE 226, LOMA LINDA, CA 92354(909) 558-6444 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2023, Aug 12, 2021, Apr 22, 2021 (3 updates tracked since 2021).

About Anthony Essilfie M.d. NPPES

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

ANTHONY ESSILFIE M.D. (NPI 1396155982) is an individual sports medicine provider in Loma Linda, California, licensed in California (A138394) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396155982
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameANTHONY ESSILFIECredential: M.D.
Location Address11406 LOMA LINDA DR STE 226Loma Linda, CA 92354-3711
Mailing Address11406 Loma Linda Dr Ste 226Loma Linda, CA 92354-3711
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1396155982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A138394
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
11406 LOMA LINDA DR STE 226, Loma Linda, CA 92354

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

Anthony Essilfie 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 ID7012295371
PECOS Enrollment IDI20210820001293
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 Anthony Essilfie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
11406 LOMA LINDA DR, SUITE 300
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
11406 LOMA LINDA DR STE 226
LOMA LINDA, CA 92354
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11406 LOMA LINDA DR STE 226
LOMA LINDA, CA 92354

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 Anthony Essilfie's NPI number?

The NPI number for Anthony Essilfie is 1396155982. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Anthony Essilfie located?

Anthony Essilfie practices at 11406 Loma Linda Dr Ste 226, Loma Linda, CA 92354. The listed phone number is (909) 558-6444.

What is Anthony Essilfie's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Anthony Essilfie enrolled in Medicare?

Yes. Anthony Essilfie 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 Anthony Essilfie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Essilfie reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Anaheim, 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 Anthony Essilfie'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 Anthony Essilfie was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.