EVAN JAE BEALE PA-C
NPI 1689174146
Physician Assistant in San Diego, CA

Active since February 20, 2018PECOS EnrolledAccepts Medicare Assignment
77.86/100
CMS Quality Rating
9339 GENESEE AVE STE 350A, SAN DIEGO, CA 92121(858) 263-0571 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2019, May 3, 2018, Mar 29, 2018 and 1 more (4 updates tracked since 2018).

About Evan Jae Beale Pa-c NPPES

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

EVAN JAE BEALE PA-C (NPI 1689174146) is an individual physician assistant in San Diego, California, licensed in California (55344) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689174146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN JAE BEALECredential: PA-C
Location Address9339 GENESEE AVE STE 350ASan Diego, CA 92121-2119
Mailing Address2285 Corporate Cir, Ste 200Henderson, NV 89074-7759 · (702) 360-2763 · Fax (949) 783-2880
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 20, 2018
Last NPPES UpdateMarch 11, 20194 updates tracked since enumeration
NPI 1689174146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · 55344 Licensed in AZ · 7083
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9339 GENESEE AVE STE 350A, San Diego, CA 92121

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

Evan Jae Beale Pa-c 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 ID5799049060
PECOS Enrollment IDI20260302000181
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

77.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability93
Improvement Activities40
Cost73.99

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 Evan Beale's NPI number?

The NPI number for Evan Beale is 1689174146. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Evan Beale located?

Evan Beale practices at 9339 Genesee Ave Ste 350A, San Diego, CA 92121. The listed phone number is (858) 263-0571.

What is Evan Beale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Evan Beale enrolled in Medicare?

Yes. Evan Beale 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 Evan Beale was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.