DR. JEFFREY B MUNDORF M.D.
NPI 1598746174
Internal Medicine - Gastroenterology in San Luis Obispo, CA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401(805) 434-5530(805) 434-0023 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Jun 4, 2024, Nov 3, 2023 and 5 more (8 updates tracked since 2019).

About Dr. Jeffrey B Mundorf M.d. NPPES

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

DR. JEFFREY B MUNDORF M.D. (NPI 1598746174) is an individual gastroenterology provider in San Luis Obispo, California, licensed in California (A50612) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1990).

NPPES Registry Identity

NPI1598746174
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEFFREY B MUNDORFCredential: M.D.
Location Address1551 BISHOP ST STE 230San Luis Obispo, CA 93401-4661
Mailing Address1551 Bishop St Ste 230San Luis Obispo, CA 93401-4661 · (805) 434-5530 · Fax (805) 434-0023
Fax(805) 434-0023
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1990
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 2, 20248 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1598746174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A50612
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1551 BISHOP ST STE 230, San Luis Obispo, CA 93401

Secondary Practice Locations 3

Location 1850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · Phone (805) 434-5530 · Fax (805) 786-4220
Location 2350 Posada Ln Ste 202Templeton, CA 93465-4060 · Phone (805) 434-5497 · Fax (805) 434-0917
Location 31325 E Church St Ste 202Santa Maria, CA 93454-5915 · Phone (805) 346-3456 · Fax (805) 346-3454

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. Jeffrey B Mundorf M.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 ID5395712418
PECOS Enrollment IDI20040920000469
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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
342 services341 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
262 services257 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.
219 services179 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.
201 services143 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
175 services175 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
117 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Physician Assistant (Medical)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Clinic/Center (Community Health)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Physician Assistant
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Nurse Practitioner
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401

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 Jeffrey Mundorf's NPI number?

The NPI number for Jeffrey Mundorf is 1598746174. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Jeffrey Mundorf located?

Jeffrey Mundorf practices at 1551 Bishop St Ste 230, San Luis Obispo, CA 93401. The listed phone number is (805) 434-5530.

What is Jeffrey Mundorf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffrey Mundorf enrolled in Medicare?

Yes. Jeffrey Mundorf 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 Jeffrey Mundorf was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.