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DR. THOMAS KEITH MOGENSEN M.D.
NPI 1578865671
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Yucaipa, CA

Active since November 22, 2010PECOS Enrolled
11955 PENDLETON RD, YUCAIPA, CA 92399(909) 790-1910 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas Keith Mogensen M.d. NPPES

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

DR. THOMAS KEITH MOGENSEN M.D. (NPI 1578865671) is an individual preventive medicine/occupational environmental medicine provider in Yucaipa, California, licensed in California (G079090) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578865671
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameDR. THOMAS KEITH MOGENSENCredential: M.D.
Location Address11955 PENDLETON RDYucaipa, CA 92399-4029
Mailing Address11955 Pendleton RdYucaipa, CA 92399-4029 · (909) 790-1910
Phone(909) 790-1910
Sole ProprietorYes
Enumeration DateNovember 22, 2010
✔ NPI 1578865671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in CA · G079090
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
11955 PENDLETON RD, Yucaipa, CA 92399
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Keith Mogensen M.d. 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

2

Medicare enrollment records show Thomas Mogensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care Of California, A Medical Corporation
16 mi
Urgent Care
6485 DAY ST STE 302
Riverside, CA 92507
  • Reassigned Medicare billing, California enrollment
  • 304 clinicians in this Medicare group
NPI 1851868020 (951) 653-5291
Desert Valley Medical Group, Inc.
30 mi
Family Medicine
17450 MAIN ST
Hesperia, CA 92345
  • Reassigned Medicare billing, California enrollment
  • 145 clinicians in this Medicare group
NPI 1114973914 (760) 241-8000

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 92399 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Thomas Mogensen's NPI number?

The NPI number for Thomas Mogensen is 1578865671. It was assigned to this individual provider in the NPPES registry on November 22, 2010.

Where is Thomas Mogensen located?

Thomas Mogensen practices at 11955 Pendleton Rd, Yucaipa, CA 92399. The listed phone number is (909) 790-1910.

What is Thomas Mogensen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Thomas Mogensen enrolled in Medicare?

Yes. Thomas Mogensen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Mogensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mogensen reassigns Medicare benefits to 2 organizations: American Current Care Of California, A Medical Corporation (Riverside, CA) and Desert Valley Medical Group, Inc. (Hesperia, 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 Thomas Mogensen'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 Thomas Mogensen was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.