EVAN JAMES LUXENBERG MD
NPI 1457857609
Psychiatry & Neurology - Neurology in San Rafael, CA
About Evan James Luxenberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN JAMES LUXENBERG MD (NPI 1457857609) is an individual neurology provider in San Rafael, California, licensed in California (187130) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Evan James Luxenberg Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Luxenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAN RAFAEL, CA 94903
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 Evan Luxenberg's NPI number?
The NPI number for Evan Luxenberg is 1457857609. It was assigned to this individual provider in the NPPES registry on April 4, 2018.
Where is Evan Luxenberg located?
Evan Luxenberg practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2905.
What is Evan Luxenberg's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Evan Luxenberg enrolled in Medicare?
Yes. Evan Luxenberg 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 organization bills Medicare for Evan Luxenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Luxenberg reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Evan Luxenberg'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 Evan Luxenberg was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Evan James Luxenberg, MD · NPI 1457857609
Neurology physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1457857609 (Entity type: Individual)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 187130 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 MONTECILLO RD, San Rafael, CA 94903-3308
- **Phone:** (415) 444-2905
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2018
## Record status
- **NPPES last updated:** July 27, 2023
- **Other identifiers:** Medicaid 1457857609 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457857609) · Data from the CMS NPPES public registry.