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DR. ELLYN LEVINE M.D.
NPI 1760470546
Internal Medicine in La Mesa, CA

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
5290 BALTIMORE DR, LA MESA, CA 91942(619) 567-6914(619) 567-6916 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2018, Oct 26, 2016 (2 updates tracked since 2016).

About Dr. Ellyn Levine M.d. NPPES

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

DR. ELLYN LEVINE M.D. (NPI 1760470546) is an individual internal medicine provider in La Mesa, California, licensed in California (G86297) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1994).

NPPES Registry Identity

NPI1760470546
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELLYN LEVINECredential: M.D.
Location Address5290 BALTIMORE DRLa Mesa, CA 91942-2080
Mailing Address3830 Valley Centre Dr, Unit 705-306San Diego, CA 92130-3320 · (619) 567-6914 · Fax (619) 567-6916
Phone(619) 567-6914
Fax(619) 567-6916
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1994
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 12, 20182 updates tracked since enumeration
✔ NPI 1760470546 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 · G86297
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.
5290 BALTIMORE DR, La Mesa, CA 91942
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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

Dr. Ellyn Levine 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 ID8022041706
PECOS Enrollment IDI20050913001323
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 Ellyn Levine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellyn Levine, MD, Inc.
Same address
Health Service
5290 BALTIMORE DR
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
NPI 1386072163 (619) 567-6914

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
21 services18 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.
18 services18 patients
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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims66 services$1.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

FRANCINE CHU
Nurse Practitioner
5290 BALTIMORE DR
LA MESA, CA 91942
San Diego County (619) 567-6914
ELLYN LEVINE, MD, INC.
Clinic/Center (Health Service)
5290 BALTIMORE DR
LA MESA, CA 91942
San Diego County (619) 567-6914

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 Ellyn Levine's NPI number?

The NPI number for Ellyn Levine is 1760470546. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Ellyn Levine located?

Ellyn Levine practices at 5290 Baltimore Dr, La Mesa, CA 91942. The listed phone number is (619) 567-6914.

What is Ellyn Levine's specialty?

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

Is Ellyn Levine enrolled in Medicare?

Yes. Ellyn Levine 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 Ellyn Levine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellyn Levine reassigns Medicare benefits to Ellyn Levine, MD, Inc. (La Mesa, 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 Ellyn Levine'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 Ellyn Levine was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.