BRANDON ISARIYAWONGSE M.D.
NPI 1639342058
Urology in San Diego, CA

Active since April 07, 2008PECOS EnrolledAccepts Medicare Assignment
5893 COPLEY DR, SAN DIEGO, CA 92111(858) 616-5417 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Isariyawongse M.d. NPPES

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

BRANDON ISARIYAWONGSE M.D. (NPI 1639342058) is an individual urology provider in San Diego, California, licensed in California (131363) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2008).

NPPES Registry Identity

NPI1639342058
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameBRANDON ISARIYAWONGSECredential: M.D.
Location Address5893 COPLEY DRSan Diego, CA 92111-7906
Mailing Address5893 Copley DrSan Diego, CA 92111-7906 · (858) 616-5417
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2008
Enumeration DateApril 7, 2008
Last NPPES UpdateNovember 29, 2021
NPI 1639342058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · 131363
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5893 COPLEY DR, San Diego, CA 92111

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

Brandon Isariyawongse 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 ID3375865108
PECOS Enrollment IDI20141206000462
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

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.

Prostate resection NAN14
Prostate resection is a procedure performed to alleviate discomfort caused by an enlarged prostate. This involves removing a portion of the prostate gland to ease pressure on the urinary tract, improving urine flow and reducing symptoms. It's performed under general or spinal anesthesia.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

Dietitian, Registered
5893 COPLEY DR
SAN DIEGO, CA 92111
Otolaryngology
5893 COPLEY DR, KAISER PERMANENTE GARFIELD SPECIALTY CENTER
SAN DIEGO, CA 92111
Psychologist
5893 COPLEY DR, PAIN MANAGEMENT
SAN DIEGO, CA 92111
Ophthalmology
5893 COPLEY DR
SAN DIEGO, CA 92111
Family Medicine
5893 COPLEY DR, DEPARTMENT OF ORTOPEDICS
SAN DIEGO, CA 92111
Surgery
5893 COPLEY DR, 4TH FLOOR GENERAL SURGERY DEPARTMENT
SAN DIEGO, CA 92111
Orthopaedic Surgery
5893 COPLEY DR
SAN DIEGO, CA 92111
Orthopaedic Surgery (Orthopaedic Trauma)
5893 COPLEY DR, DEPARTMENT OF ORTHOPAEDIC SURGERY
SAN DIEGO, CA 92111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639342058, enumerated as an "individual" on April 07, 2008.

The provider is located at 5893 COPLEY DR SAN DIEGO, CA 92111 and the phone number is (858) 616-5417.

Urology with taxonomy code 208800000X.