DR. PHILIP MICHAEL BRETSKY MD, PHD
NPI 1568683076
Internal Medicine in Santa Monica, CA

Q: What is Philip Bretsky's NPI number?

The NPI number for Philip Bretsky is 1568683076. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Philip Bretsky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Bretsky was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 01, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2009629 · Waiver

1301 20TH ST, SUITE 230, SANTA MONICA, CA 90404(310) 828-4411(310) 828-2411 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Philip Michael Bretsky Md, Phd NPPES

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

DR. PHILIP MICHAEL BRETSKY MD, PHD (NPI 1568683076) is an individual internal medicine provider in Santa Monica, California, licensed in California (A99447) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 3, 2027, and is a graduate of University Of Southern California Keck School Of Medicine (2005).

NPPES Registry Identity

NPI1568683076

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PHILIP MICHAEL BRETSKYCredential: MD, PHD

Location Address1301 20TH ST, SUITE 230Santa Monica, CA 90404-2050

Mailing Address1301 20th St, Suite 230Santa Monica, CA 90404-2050 · (310) 828-4411 · Fax (310) 828-2411

Phone(310) 828-4411

Fax(310) 828-2411

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2005

Enumeration DateMay 1, 2007

Last NPPES UpdateMay 27, 2026

NPPES CertifiedMay 27, 2026

✔ NPI 1568683076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A99447

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1301 20TH ST, Santa Monica, CA 90404

Open in Google Maps ↗

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

Dr. Philip Michael Bretsky Md, Phd 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 ID840352373

PECOS Enrollment IDI20081217000599

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2009629

Philip M Bretsky, MD Phd · Santa Monica, CA

Active · expires Dec 3, 2027

CLIA Number05D2009629

Laboratory TypePhysician Office

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorPhilip M. Bretsky MD

Laboratory Phone(310) 828-4411

Laboratory LocationPhilip M Bretsky, MD Phd1301 20th St Ste 230, Santa Monica, CA 90404

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

1,914 services212 patients

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.

1,006 services205 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.

865 services203 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.

415 services208 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.

322 services188 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

206 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

170 services170 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

156 services148 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

147 services147 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

136 services107 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

99 services98 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

98 services97 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

95 services47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

84 services72 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

64 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

47 services11 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

38 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

33 services29 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

32 services27 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

31 services30 patients

Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807

This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.

30 services26 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

18 services17 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

18 services17 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

18 services17 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

17 services17 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

17 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services11 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

12 services12 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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

79%261 patients4/55-star benchmark: 96%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

90%2,286 patients3/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%115 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

1 supplier12 claims12 services$35.01 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

2 suppliers13 claims13 services$48.26 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims103 services$1.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers17 claims17 services$58.19 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 20

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

MICHAEL W CHEN M.D.

Plastic Surgery

1301 20TH ST, SUITE 570
SANTA MONICA, CA 90404

Los Angeles County (310) 315-0171

DR. DANIEL WOHLGELERNTER M.D.

Specialist

1301 20TH ST, SUITE 590
SANTA MONICA, CA 90404

Los Angeles County (310) 315-0101

JAMES L. ANASTASI, M.D., INC.

Clinic/Center (Primary Care)

1301 20TH ST, SUITE 550
SANTA MONICA, CA 90404

Los Angeles County (310) 829-3544

SANTA MONICA ORTHOPAEDIC GROUP

Orthopaedic Surgery (Sports Medicine)

1301 20TH ST, 150
SANTA MONICA, CA 90404

Los Angeles County (310) 829-2663

DR. PARVIZ D. AFSHANI M.D.

Internal Medicine (Gastroenterology)

1301 20TH ST, SUITE 280
SANTA MONICA, CA 90404

Los Angeles County (310) 829-6789

BERNARD GELLER M D ALLERGY & CLINICAL IMMUNOLOGY

Allergy & Immunology

1301 20TH ST, SUITE 220
SANTA MONICA, CA 90404

Los Angeles County (310) 828-8534

JOHN LAWRENCE GARWOOD MD A MEDICAL

Ophthalmology

1301 20TH ST, SUITE 250
SANTA MONICA, CA 90404

Los Angeles County (310) 828-7494

MARK NACHMAN MD

Internal Medicine

1301 20TH ST, STE 290
SANTA MONICA, CA 90404

Los Angeles County (310) 315-0111

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 Philip Bretsky's NPI number?

The NPI number for Philip Bretsky is 1568683076. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Philip Bretsky located?

Philip Bretsky practices at 1301 20th St Suite 230, Santa Monica, CA 90404. The listed phone number is (310) 828-4411.

What is Philip Bretsky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Bretsky enrolled in Medicare?

Yes. Philip Bretsky 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.

Does Philip Bretsky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2009629) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Philip Bretsky was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

About Dr. Philip Michael Bretsky Md, Phd NPPES

NPPES Registry Identity

Specialties & Licenses

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 05D2009629

Areas of Expertise CMS Part B claims 28

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims 4

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Philip Bretsky's NPI number?

Where is Philip Bretsky located?

What is Philip Bretsky's specialty?

Is Philip Bretsky enrolled in Medicare?

Does Philip Bretsky hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 05D2009629