MISS PRESCOTT MICHELLE LEDERER PA
NPI 1417413048
Physician Assistant in San Ysidro, CA

Q: What is Prescott Lederer's NPI number?

The NPI number for Prescott Lederer is 1417413048. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Q: What is Prescott Lederer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Prescott Lederer was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 19, 2019PECOS EnrolledAccepts Medicare Assignment

720 E SAN YSIDRO BLVD, SAN YSIDRO, CA 92173(619) 662-2286 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Prescott Michelle Lederer Pa NPPES

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

MISS PRESCOTT MICHELLE LEDERER PA (NPI 1417413048) is an individual physician assistant in San Ysidro, California, licensed in California (56373) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1417413048

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS PRESCOTT MICHELLE LEDERERCredential: PA

Location Address720 E SAN YSIDRO BLVDSan Ysidro, CA 92173-3101

Mailing Address5691 Linda Rosa AveLa Jolla, CA 92037-7539 · (619) 371-2066

Phone(619) 662-2286

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2018

Enumeration DateFebruary 19, 2019

✔ NPI 1417413048 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 · 56373

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.

720 E SAN YSIDRO BLVD, San Ysidro, CA 92173

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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

Miss Prescott Michelle Lederer Pa 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 ID4981197092

PECOS Enrollment IDI20251205002159

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 92173 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

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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

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

MARK OLCOTT, M.D., INC.

Emergency Medicine

720 E SAN YSIDRO BLVD
SAN YSIDRO, CA 92173

San Diego County (619) 261-7427

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 Prescott Lederer's NPI number?

The NPI number for Prescott Lederer is 1417413048. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Prescott Lederer located?

Prescott Lederer practices at 720 E San Ysidro Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-2286.

What is Prescott Lederer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Prescott Lederer enrolled in Medicare?

Yes. Prescott Lederer 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.

When was this NPI record last updated?

The NPPES record for Prescott Lederer was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.