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DR. FRANK JEFFREY COUFAL M.D.
NPI 1760495303
Neurological Surgery in La Jolla, CA

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
25.46/100
CMS Quality Rating
9834 GENESEE AVE, SUITE 411, LA JOLLA, CA 92037(858) 677-1755 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frank Jeffrey Coufal M.d. NPPES

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

DR. FRANK JEFFREY COUFAL M.D. (NPI 1760495303) is an individual neurological surgery provider in La Jolla, California, licensed in California (A50766) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1988).

NPPES Registry Identity

NPI1760495303
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. FRANK JEFFREY COUFALCredential: M.D.
Location Address9834 GENESEE AVE, SUITE 411La Jolla, CA 92037-1223
Mailing Address9834 Genesee Ave, Suite 411La Jolla, CA 92037-1223 · (858) 677-1755
Phone(858) 677-1755
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1988
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1760495303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in CA · A50766
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
9834 GENESEE AVE, La Jolla, CA 92037
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Other Identifiers 4

Medicare ID-Type UnspecifiedW16374CA
Medicare UPINWA50766CCA
Other00A507660CA · Blue Shield
OtherP00228373, DD4418CA · Rail Road Medicare

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. Frank Jeffrey Coufal 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 ID648256321
PECOS Enrollment IDI20080118000218
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 11

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.
160 services120 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.
115 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$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.

25.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost84.88

Other Providers at the Same Location NPPES 20

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

DAVID SCOTT MICHELSON MD
Ophthalmology
9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037
San Diego County (858) 457-3050
DR. ERIC HONG M.D.
Internal Medicine (Cardiovascular Disease)
9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037
San Diego County (858) 824-2900
HAILEY ENGLERT SLP
Speech-Language Pathologist
9834 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-4444
SCOTT R MILLER MD FACS APC
Plastic Surgery
9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037
San Diego County (858) 453-3133
PAUL E MICHELSON MD, INC
Ophthalmology
9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037
San Diego County (858) 457-3050
MARILYN SARA FREEMAN PH.D., MFT
Marriage & Family Therapist
9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037
San Diego County (858) 502-5553
LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Specialist
9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037
San Diego County (858) 677-1755
FREDERICK J DE LA VEGA, MD
Specialist
9834 GENESEE AVE, 411
LA JOLLA, CA 92037
San Diego County (858) 677-1755

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 Frank Coufal's NPI number?

The NPI number for Frank Coufal is 1760495303. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Frank Coufal located?

Frank Coufal practices at 9834 Genesee Ave Suite 411, La Jolla, CA 92037. The listed phone number is (858) 677-1755.

What is Frank Coufal's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Frank Coufal enrolled in Medicare?

Yes. Frank Coufal 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 Frank Coufal was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.