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SUSAN D URSTEIN MD
NPI 1528025558
Emergency Medicine in Santa Monica, CA

Active since April 26, 2006PECOS Enrolled
90/100
CMS Quality Rating
1328 TWENTY SECOND STREET, SANTA MONICA, CA 90404(310) 582-7089 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan D Urstein Md NPPES

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

SUSAN D URSTEIN MD (NPI 1528025558) is an individual emergency medicine provider in Santa Monica, California, licensed in California (A69962) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528025558
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN D URSTEINCredential: MD
Location Address1328 TWENTY SECOND STREETSanta Monica, CA 90404-2091
Mailing AddressPo Box 12079Westminster, CA 92685-3852 · (562) 809-3595 · Fax (562) 468-0347
Phone(310) 582-7089
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJanuary 12, 2009
✔ NPI 1528025558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A69962
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1328 TWENTY SECOND STREET, Santa Monica, CA 90404
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Other Identifiers 3

Medicare PINWA69962ACA
Medicaid00A699620CA
Medicare UPINH57826

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan D Urstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Susan Urstein reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
0.1 mi
Emergency Medicine
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1063081545 (310) 829-5511
Saint Johns Emergency Medicine Specialists Inc A Medical Group
0.1 mi
Emergency Medicine
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1609888940 (310) 829-5511
Pacifica Emergency Medical Associates
8.7 mi
Emergency Medicine
16237 VENTURA BLVD
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 58 clinicians in this Medicare group
NPI 1053350975 (310) 379-2134
Tarzana Emergency Medical Associates
10 mi
Emergency Medicine
18321 CLARK ST
Tarzana, CA 91356
  • Reassigned Medicare billing, California enrollment
  • 66 clinicians in this Medicare group
NPI 1235176702 (310) 321-0143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
370 services358 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
367 services354 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
197 services193 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
115 services115 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

90/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.81
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

EDWARD S COTNER MD
Emergency Medicine
1328 TWENTY SECOND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
SHERRYL A BEH PA
Physician Assistant
1328 TWENTY SECOND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
G.K EDWARDS M.D APC
Nuclear Medicine
1328 TWENTY SECOND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 449-1188
AMY ADAMS PA
Physician Assistant
1328 TWENTY SECOND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
JOLIE PFAHLER MD
Emergency Medicine
1328 TWENTY SECOND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
MONICA NOEL SWANSON PAC
Physician Assistant (Medical)
1328 TWENTY SECOND STREET, SAINT JOHNS ER
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7084

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 Susan Urstein's NPI number?

The NPI number for Susan Urstein is 1528025558. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Susan Urstein located?

Susan Urstein practices at 1328 Twenty Second Street, Santa Monica, CA 90404. The listed phone number is (310) 582-7089.

What is Susan Urstein's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Susan Urstein enrolled in Medicare?

Yes. Susan Urstein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Urstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Urstein reassigns Medicare benefits to 4 organizations: Cep America - California (Santa Monica, CA), Saint Johns Emergency Medicine Specialists Inc A Medical Group (Santa Monica, CA), Pacifica Emergency Medical Associates (Encino, CA) and Tarzana Emergency Medical Associates (Tarzana, CA). Each 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 Susan Urstein'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 Susan Urstein was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.