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DR. FREDERIC JEROME KOLB MD
NPI 1790341832
Plastic Surgery in San Diego, CA

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # MC8890, SAN DIEGO, CA 92103(619) 543-6084 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2019, Sep 19, 2019, May 14, 2019 (3 updates tracked since 2019).

About Dr. Frederic Jerome Kolb Md NPPES

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

DR. FREDERIC JEROME KOLB MD (NPI 1790341832) is an individual plastic surgery provider in San Diego, California, licensed in California (SFP39) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1790341832
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. FREDERIC JEROME KOLBCredential: MD
Location Address200 W ARBOR DR # MC8890San Diego, CA 92103-1911
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(619) 543-6084
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 14, 2019
Last NPPES UpdateOctober 3, 20193 updates tracked since enumeration
✔ NPI 1790341832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · SFP39
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
200 W ARBOR DR # MC8890, San Diego, CA 92103
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Secondary Practice Location 1

Location 14510 Executive Dr Ste 103San Diego, CA 92121-3022 · Phone (858) 453-1469

Other Identifiers 3

OtherZZZP3716ZCA · Medi-cal
Other95-6006144CA · Ucsd Plastic Surgery
Other23-7064656CA · Ucsd Medical Group

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. Frederic Jerome Kolb 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 ID5395077689
PECOS Enrollment IDI20191106002357
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 6

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.
42 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services35 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.
28 services20 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.
24 services24 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
16 services11 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

VIVIAN JIAYIN HU MD
Plastic Surgery
200 W ARBOR DR # MC8890
SAN DIEGO, CA 92103
San Diego County (619) 543-5887
NAYUN LEE MD
Plastic Surgery
200 W ARBOR DR # MC8890
SAN DIEGO, CA 92103
San Diego County (619) 294-3746

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 Frederic Kolb's NPI number?

The NPI number for Frederic Kolb is 1790341832. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Frederic Kolb located?

Frederic Kolb practices at 200 W Arbor Dr # Mc8890, San Diego, CA 92103. The listed phone number is (619) 543-6084.

What is Frederic Kolb's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Frederic Kolb enrolled in Medicare?

Yes. Frederic Kolb 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 Frederic Kolb was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.