DR. BRENT E RATHBUN M.D.
NPI 1720091697
Internal Medicine in Del Mar, CA

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
2600 VIA DE LA VALLE, STE 200, DEL MAR, CA 92014(858) 499-2600(858) 309-3189 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brent E Rathbun M.d. NPPES

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

DR. BRENT E RATHBUN M.D. (NPI 1720091697) is an individual internal medicine provider in Del Mar, California, licensed in California (A54826) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1994).

NPPES Registry Identity

NPI1720091697
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRENT E RATHBUNCredential: M.D.
Location Address2600 VIA DE LA VALLE, STE 200Del Mar, CA 92014-1992
Mailing Address2600 Via De La Valle, Ste 200Del Mar, CA 92014-1992 · (858) 499-2600 · Fax (858) 309-3189
Fax(858) 309-3189
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1994
Enumeration DateAugust 14, 2006
Last NPPES UpdateJune 6, 2014
NPI 1720091697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A54826
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2600 VIA DE LA VALLE, Del Mar, CA 92014

Other Identifiers 3

Medicare ID-Type UnspecifiedWA54826ACA
Medicaid00A548260CA
Medicare UPING69445CA

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. Brent E Rathbun 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 ID4082747787
PECOS Enrollment IDI20100802000679
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 7

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.
186 services114 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.
66 services58 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.
53 services53 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.
24 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
22 services22 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92014 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2600 VIA DE LA VALLE, SUITE 200
DEL MAR, CA 92014
Family Medicine
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014
Durable Medical Equipment & Medical Supplies
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014
Internal Medicine
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014
Physician Assistant (Medical)
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014
Obstetrics & Gynecology
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014
Internal Medicine (Clinical Cardiac Electrophysiology)
2600 VIA DE LA VALLE, SUITE 200
DEL MAR, CA 92014
Dermatology
2600 VIA DE LA VALLE, STE 200
DEL MAR, CA 92014

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 Brent Rathbun's NPI number?

The NPI number for Brent Rathbun is 1720091697. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Brent Rathbun located?

Brent Rathbun practices at 2600 Via De La Valle Ste 200, Del Mar, CA 92014. The listed phone number is (858) 499-2600.

What is Brent Rathbun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brent Rathbun enrolled in Medicare?

Yes. Brent Rathbun 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 Brent Rathbun was last updated on June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.