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DR. BROCK KENNETH KILBOURNE PH.D.
NPI 1467586701
Psychologist - Clinical in Oceanside, CA

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
2181 S EL CAMINO REAL STE 307, OCEANSIDE, CA 92054(760) 722-4233(760) 722-4232 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brock Kenneth Kilbourne Ph.d. NPPES

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

DR. BROCK KENNETH KILBOURNE PH.D. (NPI 1467586701) is an individual clinical provider in Oceanside, California, licensed in California (PSY10467) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1467586701
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BROCK KENNETH KILBOURNECredential: PH.D.
Location Address2181 S EL CAMINO REAL STE 307Oceanside, CA 92054-6288
Mailing Address29821 Valle Olvera StTemecula, CA 92591-1638 · (951) 676-4949 · Fax (951) 676-4949
Phone(760) 722-4233
Fax(760) 722-4232
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1467586701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY10467
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2181 S EL CAMINO REAL STE 307, Oceanside, CA 92054
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Other Identifiers 2

MedicaidPSY10467CA
Medicare ID-Type UnspecifiedWCP10467ACA · Clinical Psychologist

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

Dr. Brock Kenneth Kilbourne Ph.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 ID6204802473
PECOS Enrollment IDI20040909000546
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 Reassignment

Medicare enrollment records show Brock Kilbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Camino Psychology Services. PC
Same address
Clinical
2181 S EL CAMINO REAL STE 307
Oceanside, CA 92054
  • Reassigned Medicare billing, California enrollment
NPI 1932233178 (760) 722-4233

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 92054 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

MR. MARK A. SHERMAN LCSW
Social Worker (Clinical)
2181 S EL CAMINO REAL STE 307
OCEANSIDE, CA 92054
San Diego County (760) 721-4500
EL CAMINO PSYCHOLOGY SERVICES. PC
Psychologist (Clinical)
2181 S EL CAMINO REAL STE 307
OCEANSIDE, CA 92054
San Diego County (760) 722-4233

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 Brock Kilbourne's NPI number?

The NPI number for Brock Kilbourne is 1467586701. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Brock Kilbourne located?

Brock Kilbourne practices at 2181 S El Camino Real Ste 307, Oceanside, CA 92054. The listed phone number is (760) 722-4233.

What is Brock Kilbourne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brock Kilbourne enrolled in Medicare?

Yes. Brock Kilbourne 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 Brock Kilbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Kilbourne reassigns Medicare benefits to El Camino Psychology Services. PC (Oceanside, 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 Brock Kilbourne'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 Brock Kilbourne was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.