DR. WILLIAM JACOB PEVSNER D.O.
NPI 1679758171
Family Medicine in San Dimas, CA

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
1334 W COVINA BLVD STE 103, SAN DIMAS, CA 91773(909) 394-9090(909) 394-9696 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Jacob Pevsner D.o. NPPES

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

DR. WILLIAM JACOB PEVSNER D.O. (NPI 1679758171) is an individual family medicine provider in San Dimas, California, licensed in California (W20A5383) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1986).

NPPES Registry Identity

NPI1679758171
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM JACOB PEVSNERCredential: D.O.
Location Address1334 W COVINA BLVD STE 103San Dimas, CA 91773-3211
Mailing Address1334 W Covina Blvd Ste 103San Dimas, CA 91773-3211 · (909) 394-9090 · Fax (909) 394-9696
Fax(909) 394-9696
Sole ProprietorYes
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1986
Enumeration DateJanuary 2, 2008
NPI 1679758171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · W20A5383
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1334 W COVINA BLVD STE 103, San Dimas, CA 91773

Other Identifiers 2

Medicare PINW20A5383BCA
Medicare UPINE08915CA

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. William Jacob Pevsner D.o. 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 ID2264460518
PECOS Enrollment IDI20050728001001
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 5

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.

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.
149 services71 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.
69 services64 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.
69 services69 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.
30 services28 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

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 William Pevsner's NPI number?

The NPI number for William Pevsner is 1679758171. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is William Pevsner located?

William Pevsner practices at 1334 W Covina Blvd Ste 103, San Dimas, CA 91773. The listed phone number is (909) 394-9090.

What is William Pevsner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Pevsner enrolled in Medicare?

Yes. William Pevsner 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 William Pevsner was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.