UCSD MEDICAL GROUP
Medicare Clinicians for NPI 1699877621
Ophthalmology in San Diego, CA

Active since September 01, 2006
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Apr 1, 2024, Jan 31, 2022 and 2 more (5 updates tracked since 2016).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Ucsd Medical Group in San Diego, CA bills Medicare for 129 clinicians across 3 Medicare specialties. The largest specialties are Ophthalmology with 105, Optometry with 22 and Nurse Practitioner with 2. Of these, 25 practice at this address and 80 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

129Clinicians
3Medicare specialties
129PECOS enrolled
115Accept Medicare
129 clinicians in 3 specialties

Ophthalmology (105)

Ophthalmology
NPI 1578907085
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOSSame address
Ophthalmology
NPI 1912325184
200 W ARBOR DR # 8425
San Diego, CA 92103
(619) 543-6268
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1275165102
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1609258920
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891730073
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1952927584
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOSSame address
Ophthalmology
NPI 1821246141
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1083275952
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1154582575
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1588027213
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1427102979
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1508814914
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1144539305
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1346622586
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1578922092
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891002044
200 W ARBOR DR
San Diego, CA 92103
(619) 543-6272
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1063040939
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1467974592
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1841814993
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1003492026
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1235699455
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1811493836
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1124641071
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1699356402
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS0.1 mi
Ophthalmology
NPI 1588248488
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1467034207
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1811576549
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1962143776
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1215677950
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1083667307
UCSD MEDICAL CENTER 200 WEST ARBOR DRIVE MC 8201
San Diego, CA 92103
(858) 534-6290
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1477959096
200 W ARBOR DR
San Diego, CA 92103
(858) 657-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1518983352
200 W ARBOR DR
San Diego, CA 92103
(858) 534-6290
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1093764177
200 WEST ARBOR DRIVE MC 8201 UCSD MEDICAL CENTER
San Diego, CA 92103
(858) 534-6290
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1356376347
200 W ARBOR DR MAIL CODE 0946
San Diego, CA 92103
(858) 534-8823
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1669497822
200 W ARBOR DR
San Diego, CA 92103
(858) 534-3516
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1982629036
200 W ARBOR DR
San Diego, CA 92103
(858) 534-7440
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1962766451
300 FIR ST
San Diego, CA 92101
(619) 446-1560
✔ PECOS✔ Accepts Medicare2.0 mi
Ophthalmology
NPI 1154352185
2406 ULRIC ST
San Diego, CA 92111
(858) 278-9393
✔ PECOS✔ Accepts Medicare2.3 mi
Ophthalmology
NPI 1437689536
7695 CARDINAL CT STE 100
San Diego, CA 92123
(858) 609-7100
✔ PECOS✔ Accepts Medicare2.6 mi
Ophthalmology
NPI 1043530777
3075 HEALTH CENTER DR STE 401
San Diego, CA 92123
(589) 395-4058
✔ PECOS✔ Accepts Medicare3.2 mi
Ophthalmology
NPI 1699216010
7910 FROST ST
San Diego, CA 92123
(858) 309-7702
✔ PECOS✔ Accepts Medicare3.3 mi
Ophthalmology
NPI 1497792220
7910 FROST ST STE 200
San Diego, CA 92123
(858) 309-7702
✔ PECOS✔ Accepts Medicare3.3 mi
Ophthalmology
NPI 1770801540
8910 UNIVERSITY CENTER LN STE 800
San Diego, CA 92122
(619) 427-3355
✔ PECOS✔ Accepts Medicare8.9 mi
Ophthalmology
NPI 1215073689
9415 CAMPUS POINT DR
La Jolla, CA 92037
(858) 822-3177
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1770849804
9415 CAMPUS POINT DR
La Jolla, CA 92093
(858) 657-7000
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1538126735
9415 CAMPUS POINT DR
La Jolla, CA 92093
(858) 534-6290
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1104237353
9415 CAMPUS POINT DR
La Jolla, CA 92093
(588) 534-2020
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1720157142
9415 CAMPUS POINT DR
La Jolla, CA 92037
(858) 534-3516
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1932202371
9415 CAMPUS POINT DRIVE
La Jolla, CA 92093
(858) 534-6290
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1750923108
SHILEY EYE INSTITUTE ROOM 251 9415 CAMPUS POINT DRIVE
La Jolla, CA 92093
(858) 534-1621
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1659588978
9415 CAMPUS POINT DR MC 0946
La Jolla, CA 92093
(858) 905-3466
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1487944062
9415 CAMPUS POINT DR
La Jolla, CA 92093
(858) 855-1569
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1023542370
9415 CAMPUS POINT DR RM 257
La Jolla, CA 92093
(858) 534-8858
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1710945357
9415 CAMPUS POINT DRIVE
La Jolla, CA 92093
(858) 534-6290
✔ PECOS✔ Accepts Medicare9.3 mi
Ophthalmology
NPI 1891011953
9415 CAMPUS POINT DR
La Jolla, CA 92093
(858) 434-6290
✔ PECOS9.3 mi
Ophthalmology
NPI 1174551006
9500 GILMAN DR MAIL CODE 0946
La Jolla, CA 92093
(858) 534-7402
✔ PECOS✔ Accepts Medicare9.5 mi
Ophthalmology
NPI 1932605649
5330 CARROLL CANYON RD STE 210
San Diego, CA 92121
(800) 345-8979
✔ PECOS✔ Accepts Medicare9.7 mi
Ophthalmology
NPI 1215468376
5330 CARROLL CANYON RD STE 210
San Diego, CA 92121
(858) 450-1010
✔ PECOS✔ Accepts Medicare9.7 mi
Ophthalmology
NPI 1437614310
835 THIRD AVE STE A
Chula Vista, CA 91911
(619) 425-7755
✔ PECOS✔ Accepts Medicare10 mi
Ophthalmology
NPI 1053670810
10710 N TORREY PINES RD
La Jolla, CA 92037
(858) 554-7996
✔ PECOS✔ Accepts Medicare11 mi
Ophthalmology
NPI 1326300377
15004 INNOVATION DR
San Diego, CA 92128
(858) 487-1800
✔ PECOS✔ Accepts Medicare17 mi
Ophthalmology
NPI 1093948176
477 N EL CAMINO REAL SUITE 302
Encinitas, CA 92024
(858) 888-2472
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1174152961
700 GARDEN VIEW CT STE 100
Encinitas, CA 92024
(760) 452-4270
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1588922801
850 HEALTH SCIENCES RD
Irvine, CA 92617
(949) 824-2020
✔ PECOS✔ Accepts Medicare73 mi
Ophthalmology
NPI 1306401096
9900 MCFADDEN AVE STE 201
Westminster, CA 92683
(714) 889-0718
✔ PECOS82 mi
Ophthalmology
NPI 1427443316
7117 BROCKTON AVE
Riverside, CA 92506
(951) 782-3080
✔ PECOS✔ Accepts Medicare83 mi
Ophthalmology
NPI 1942489356
301 W BASTANCHURY RD STE 285
Fullerton, CA 92835
(714) 738-4620
✔ PECOS✔ Accepts Medicare90 mi
Ophthalmology
NPI 1497045041
5 CENTERPOINTE DR
La Palma, CA 90623
(714) 706-3023
✔ PECOS✔ Accepts Medicare91 mi
Ophthalmology
NPI 1891181095
2880 ATLANTIC AVE STE 290
Long Beach, CA 90806
(562) 534-1777
✔ PECOS✔ Accepts Medicare94 mi
Ophthalmology
NPI 1831327626
494 N MOUNTAIN AVE
Upland, CA 91786
(909) 552-7200
✔ PECOS✔ Accepts Medicare97 mi
Ophthalmology
NPI 1649614215
1250 S SUNSET AVE STE 205
West Covina, CA 91790
(626) 960-3741
✔ PECOS✔ Accepts Medicare101 mi
Ophthalmology
NPI 1386933240
2446 W WHITTIER BLVD
Montebello, CA 90640
(323) 728-5500
✔ PECOS✔ Accepts Medicare103 mi
Ophthalmology
NPI 1609189893
210 S GRAND AVE #106
Glendora, CA 91741
(626) 335-0535
✔ PECOS✔ Accepts Medicare104 mi
Ophthalmology
NPI 1154984417
1450 SAN PABLO ST FL 4
Los Angeles, CA 90033
(323) 442-6335
✔ PECOS✔ Accepts Medicare108 mi
Ophthalmology
NPI 1902224850
1450 SAN PABLO ST STE 4000
Los Angeles, CA 90033
(323) 442-6335
✔ PECOS108 mi
Ophthalmology
NPI 1487910063
1450 SAN PABLO ST FL 4
Los Angeles, CA 90033
(323) 442-6335
✔ PECOS✔ Accepts Medicare108 mi
Ophthalmology
NPI 1578900205
1200 N STATE ST CT-A4D
Los Angeles, CA 90033
(323) 409-1000
✔ PECOS108 mi
Ophthalmology
NPI 1164740460
100 E CALIFORNIA BLVD
Pasadena, CA 91105
(301) 362-3431
✔ PECOS✔ Accepts Medicare111 mi
Ophthalmology
NPI 1982232542
6677 W THUNDERBIRD RD STE 101
Glendale, AZ 85306
(623) 878-3939
✔ PECOS✔ Accepts Medicare293 mi
Ophthalmology
NPI 1447518832
622 ABBOTT ST
Salinas, CA 93901
(831) 771-3900
✔ PECOS✔ Accepts Medicare371 mi
Ophthalmology
NPI 1568995397
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare430 mi
Ophthalmology
NPI 1417158114
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare430 mi
Ophthalmology
NPI 1851753354
1936 UNIVERSITY AVE
Berkeley, CA 94704
(510) 488-6767
✔ PECOS✔ Accepts Medicare456 mi
Ophthalmology
NPI 1902398506
1650 RESPONSE RD
Sacramento, CA 95815
(916) 784-4185
✔ PECOS✔ Accepts Medicare469 mi
Ophthalmology
NPI 1497135156
1515 RESPONSE RD
Sacramento, CA 95815
(916) 649-1515
✔ PECOS✔ Accepts Medicare469 mi
Ophthalmology
NPI 1154765139
1111 EXPOSITION BLVD. BUILDING 200 SUITE 2000
Sacramento, CA 95815
(916) 957-1515
✔ PECOS✔ Accepts Medicare469 mi
Ophthalmology
NPI 1174754022
5773 GREENBACK LN
Sacramento, CA 95841
(916) 863-3143
✔ PECOS✔ Accepts Medicare471 mi
Ophthalmology
NPI 1487157269
1411 S POTOMAC ST STE 440
Aurora, CO 80012
(720) 443-2425
✔ PECOS✔ Accepts Medicare837 mi
Ophthalmology
NPI 1073992731
1675 AURORA CT
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare839 mi
Ophthalmology
NPI 1407199607
175 TIMBERWOLF PKWY
Kalispell, MT 59901
(406) 257-2020
✔ PECOS✔ Accepts Medicare1,079 mi
Ophthalmology
NPI 1891089546
1025 SE TALLGRASS LN STE 210
Waukee, IA 50263
(515) 875-9480
✔ PECOS✔ Accepts Medicare1,417 mi
Ophthalmology
NPI 1871170605
1301 MEDICAL CENTER DR
Nashville, TN 37232
(615) 322-3000
✔ PECOS✔ Accepts Medicare1,742 mi
Ophthalmology
NPI 1841227477
700 18TH ST S
Birmingham, AL 35233
(205) 325-9620
✔ PECOS✔ Accepts Medicare1,750 mi
Ophthalmology
NPI 1932690294
2933 BRECKENRIDGE LN STE 102
Louisville, KY 40220
(502) 588-9588
✔ PECOS✔ Accepts Medicare1,808 mi
Ophthalmology
NPI 1184983728
14499 N DALE MABRY HWY STE 270S
Tampa, FL 33618
(813) 699-3000
✔ PECOS✔ Accepts Medicare2,085 mi
Ophthalmology
NPI 1790078129
1145 BOWER HILL RD STE 205
Pittsburgh, PA 15243
(412) 572-6121
✔ PECOS✔ Accepts Medicare2,112 mi
Ophthalmology
NPI 1801021100
8140 ASHTON AVE STE 120
Manassas, VA 20109
(703) 361-3128
✔ PECOS✔ Accepts Medicare2,248 mi
Ophthalmology
NPI 1811251853
5858 SW 68TH ST
South Miami, FL 33143
(305) 661-8588
✔ PECOS✔ Accepts Medicare2,268 mi
Ophthalmology
NPI 1265096929
1611 NW 12TH AVE
Miami, FL 33136
(305) 326-6000
✔ PECOS✔ Accepts Medicare2,270 mi
Ophthalmology
NPI 1588869945
600 N WOLFE ST
Baltimore, MD 21287
(410) 614-1342
✔ PECOS✔ Accepts Medicare2,297 mi
Ophthalmology
NPI 1467451898
840 WALNUT ST SUITE 930
Philadelphia, PA 19107
(215) 928-3130
✔ PECOS✔ Accepts Medicare2,372 mi
Ophthalmology
NPI 1154988012
600 PAVONIA AVE STE 4
Jersey City, NJ 07306
(201) 656-1212
✔ PECOS✔ Accepts Medicare2,429 mi
Ophthalmology
NPI 1659935096
8831 55TH AVE STE 201
Elmhurst, NY 11373
(718) 899-6600
✔ PECOS2,439 mi
Ophthalmology
NPI 1740717149
360 MERRIMACK ST BLDG 9, ENTRANCE I
Lawrence, MA 01843
(978) 688-6182
✔ PECOS✔ Accepts Medicare2,578 mi
Ophthalmology
NPI 1801943279
9415 CAMPUS POINT DRIVE, #257 MC 0946
La Jolla, CA 92037
(858) 534-8858
✔ PECOS✔ Accepts Medicare

Optometry (22)

Optometry
NPI 1528490430
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1396009478
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOSSame address
Optometry
NPI 1861164642
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1376929034
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1740205236
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1174550768
200 W ARBOR DR
San Diego, CA 92103
(858) 534-6290
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1962817981
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1790291565
200 W ARBOR DR
San Diego, CA 92103
(858) 534-6290
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1013759117
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1699183673
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1902641848
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1235851650
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1588552970
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS0.1 mi
Optometry
NPI 1982277471
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS0.1 mi
Optometry
NPI 1992683122
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1629312210
200 W ARBOR DR
San Diego, CA 92103
(858) 534-6290
✔ PECOS0.2 mi
Optometry
NPI 1275566010
9415 CAMPUS POINT DR
La Jolla, CA 92037
(858) 534-6290
✔ PECOS✔ Accepts Medicare9.3 mi
Optometry
NPI 1235161597
9415 CAMPUS POINT DR
La Jolla, CA 92037
(858) 534-6291
✔ PECOS✔ Accepts Medicare9.3 mi
Optometry
NPI 1619900313
9415 CAMPUS POINT DR
La Jolla, CA 92037
(858) 534-6291
✔ PECOS✔ Accepts Medicare9.3 mi
Optometry
NPI 1639697451
9415 CAMPUS POINT DR
La Jolla, CA 92093
(858) 534-6290
✔ PECOS✔ Accepts Medicare9.3 mi
Optometry
NPI 1104350651
2100 NAPA VALLEJO HWY
Napa, CA 94558
(707) 253-5000
✔ PECOS✔ Accepts Medicare477 mi
Optometry
NPI 1184283277
17273 STATE ROUTE 104
Chillicothe, OH 45601
(740) 773-1141
✔ PECOS✔ Accepts Medicare1,953 mi

Nurse Practitioner (2)

Nurse Practitioner
NPI 1255763942
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOSSame address
Nurse Practitioner
NPI 1457694549
200 W ARBOR DR
San Diego, CA 92103
(833) 823-9777
✔ PECOS0.2 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Ucsd Medical Group appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.