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BRIAN PRYSTOWSKY M.D.
NPI 1629298112
Pediatrics in Santa Rosa, CA

Active since April 26, 2007PECOS Enrolled
3569 ROUND BARN CIR, SANTA ROSA, CA 95403(707) 303-3600(707) 303-3611 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian Prystowsky M.d. NPPES

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

BRIAN PRYSTOWSKY M.D. (NPI 1629298112) is an individual pediatrics provider in Santa Rosa, California, licensed in California (A108906) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629298112
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRIAN PRYSTOWSKYCredential: M.D.
Location Address3569 ROUND BARN CIRSanta Rosa, CA 95403-5781
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600 · Fax (707) 303-3611
Phone(707) 303-3600
Fax(707) 303-3611
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 28, 2011
✔ NPI 1629298112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A108906
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3569 ROUND BARN CIR, Santa Rosa, CA 95403
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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)

Brian Prystowsky 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 Reassignment

Medicare enrollment records show Brian Prystowsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
51 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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.

DR. LYMAN BOWEN GREAVES JR. M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
KYLE RANSOM D.O.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
ELIZABETH VIRGINIA FERNWOOD
Nurse Practitioner
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
MOLLIE SCHRODI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
KAYLA FLORES TINDALL
Family Medicine
3569 ROUND BARN CIR, SUITE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
STEPHEN P KRUMLAND M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
PATRICIA G PADILLA-NOAH MD
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
MR. CHRISTOPH GELSDORF M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600

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 Brian Prystowsky's NPI number?

The NPI number for Brian Prystowsky is 1629298112. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Brian Prystowsky located?

Brian Prystowsky practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.

What is Brian Prystowsky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Prystowsky enrolled in Medicare?

Yes. Brian Prystowsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Prystowsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Prystowsky reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The 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 Brian Prystowsky'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 Brian Prystowsky was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.