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BELLINY PHAETON MD
NPI 1699265629
Preventive Medicine - Public Health & General Preventive Medicine in Loma Linda, CA

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
24785 STEWART ST # EH-204, LOMA LINDA, CA 92350(909) 651-5809(909) 558-0451 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2025, Sep 26, 2022, Sep 23, 2022 and 2 more (5 updates tracked since 2018).

About Belliny Phaeton Md NPPES

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

BELLINY PHAETON MD (NPI 1699265629) is an individual public health & general preventive medicine provider in Loma Linda, California, licensed in California (A180520) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2018).

NPPES Registry Identity

NPI1699265629
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameBELLINY PHAETONCredential: MD
Location Address24785 STEWART ST # EH-204Loma Linda, CA 92350-1721
Mailing Address24785 Stewart St # Eh-204Loma Linda, CA 92350-1721 · (909) 651-5809 · Fax (909) 558-0451
Phone(909) 651-5809
Fax(909) 558-0451
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateFebruary 18, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1699265629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in CA · A180520
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedInternal MedicineTaxonomy 207R00000X · License A180520 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A180520 (CA)
24785 STEWART ST # EH-204, Loma Linda, CA 92350
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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 and accepts Medicare assignment

Belliny Phaeton Md 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 ID4587040654
PECOS Enrollment IDI20220928000562
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 Belliny Phaeton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Preventive Medicine/Occupational Environmental Medicine
24785 STEWART ST, STE 111
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1306372073 (909) 558-8459

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 92350 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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 Belliny Phaeton's NPI number?

The NPI number for Belliny Phaeton is 1699265629. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Belliny Phaeton located?

Belliny Phaeton practices at 24785 Stewart St # Eh-204, Loma Linda, CA 92350. The listed phone number is (909) 651-5809.

What is Belliny Phaeton's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Belliny Phaeton enrolled in Medicare?

Yes. Belliny Phaeton 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.

Which organization bills Medicare for Belliny Phaeton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Belliny Phaeton reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, 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 Belliny Phaeton'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 Belliny Phaeton was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.