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ELYSE JOAN RUBENSTEIN MD
NPI 1508895095
Internal Medicine - Rheumatology in Santa Monica, CA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
75.31/100
CMS Quality Rating
1328 16TH ST, SANTA MONICA, CA 90404(310) 256-2425(310) 395-3218 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyse Joan Rubenstein Md NPPES

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

ELYSE JOAN RUBENSTEIN MD (NPI 1508895095) is an individual rheumatology provider in Santa Monica, California, licensed in California (A80939) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1508895095
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameELYSE JOAN RUBENSTEINCredential: MD
Location Address1328 16TH STSanta Monica, CA 90404-1804
Mailing Address1328 16th StSanta Monica, CA 90404-1804 · (310) 256-2425 · Fax (310) 395-3218
Phone(310) 256-2425
Fax(310) 395-3218
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1508895095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A80939
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1328 16TH ST, Santa Monica, CA 90404
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedWA80939ACA · Ppin
Medicare UPINI35371CA
Medicaid00A809390CA

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

Elyse Joan Rubenstein 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.

PECOS PAC ID5193754737
PECOS Enrollment IDI20050804000511
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 7

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.
963 services326 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.
775 services252 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
493 services287 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
400 services174 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
173 services66 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

75.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.01
Improvement Activities40
Cost33.7

Reported Quality Measures

Controlling High Blood Pressure
74%62 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%3,557 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%528 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%952 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%3,211 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 749 patients
Patients screened: 99% · 749 patients
0%28 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 542 patients
Patients totalRate: 0% · 542 patients
0%542 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ELYSE RUBENSTEIN MD A PROFESSIONAL CORPORATION
Internal Medicine (Rheumatology)
1328 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 256-2425
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION
Non-Pharmacy Dispensing Site
1328 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 256-2425

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 Elyse Rubenstein's NPI number?

The NPI number for Elyse Rubenstein is 1508895095. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Elyse Rubenstein located?

Elyse Rubenstein practices at 1328 16th St, Santa Monica, CA 90404. The listed phone number is (310) 256-2425.

What is Elyse Rubenstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Elyse Rubenstein enrolled in Medicare?

Yes. Elyse Rubenstein 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 Elyse Rubenstein was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.