SUSIE X FONG M.D.
NPI 1447549654
Internal Medicine - Sleep Medicine in Encino, CA

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
15503 VENTURA BLVD STE 170, ENCINO, CA 91436(818) 461-8148 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Jul 8, 2019, Jul 23, 2018 and 1 more (4 updates tracked since 2018).

About Susie X Fong M.d. NPPES

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

SUSIE X FONG M.D. (NPI 1447549654) is an individual sleep medicine provider in Encino, California, licensed in California (A129474) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of University Of California, Geffen School Of Medicine (2011).

NPPES Registry Identity

NPI1447549654
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameSUSIE X FONGCredential: M.D.
Location Address15503 VENTURA BLVD STE 170Encino, CA 91436
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateMarch 4, 20204 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1447549654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in CA · A129474
Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal MedicineTaxonomy 207R00000X · License A129474 (CA)
15503 VENTURA BLVD STE 170, Encino, CA 91436

Secondary Practice Location 1

Location 115503 Ventura Blvd Ste 340Encino, CA 91436-3132 · Phone (818) 461-8148

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

Susie X Fong 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 ID6709131386
PECOS Enrollment IDI20180622001104
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
271 services184 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
125 services125 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
111 services109 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
35 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91436 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers259 claims259 services$34.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers107 claims107 services$73.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers124 claims318 services$28.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers215 claims1,098 services$16.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers63 claims344 services$12.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers261 claims261 services$47.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Cardiovascular Disease)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Internal Medicine (Rheumatology)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Internal Medicine (Gastroenterology)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Dermatology
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Internal Medicine (Pulmonary Disease)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Family Medicine (Adolescent Medicine)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436
Anesthesiology (Pain Medicine)
15503 VENTURA BLVD STE 170
ENCINO, CA 91436

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 Susie Fong's NPI number?

The NPI number for Susie Fong is 1447549654. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Susie Fong located?

Susie Fong practices at 15503 Ventura Blvd Ste 170, Encino, CA 91436. The listed phone number is (818) 461-8148.

What is Susie Fong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Susie Fong enrolled in Medicare?

Yes. Susie Fong 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 Susie Fong was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.