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GEORGE GREGORY SUPER M.D.
NPI 1790748507
Emergency Medicine in Newport Beach, CA

Active since April 11, 2006PECOS Enrolled
ONE HOAG DR, ECU DEPT, NEWPORT BEACH, CA 92663(949) 764-5689(405) 751-3183 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About George Gregory Super M.d. NPPES

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

GEORGE GREGORY SUPER M.D. (NPI 1790748507) is an individual emergency medicine provider in Newport Beach, California, licensed in California (C32629) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790748507
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGEORGE GREGORY SUPERCredential: M.D.
Location AddressONE HOAG DR, ECU DEPTNewport Beach, CA 92663-4162
Mailing AddressPo Box 720300Oklahoma City, OK 73172-0300 · (800) 749-4560 · Fax (405) 751-3181
Phone(949) 764-5689
Fax(405) 751-3183
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateSeptember 20, 2012
✔ NPI 1790748507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · C32629
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
ONE HOAG DR, Newport Beach, CA 92663
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Other Names 1

Other Name (5)Greg Super M.d.

Other Identifiers 6

OtherP00242844CA · Rr Medicare
Medicaid00C326290670CA
Medicare UPINA88971CA
Medicaid00C326290CA
Other00C326290CA · Blue Shield
Medicare PINWC32629CCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Gregory Super M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 George Super reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newport Emergency Medical Group Inc
0.1 mi
Medical Specialty
1 HOAG DR, ECU DEPT.
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1922061779 (949) 764-5689

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 11

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

HOWARD KEN NAKASHIOYA M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
PASCAL S.C. JUANG M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
RAYMOND LOUIS RICCI M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
MICHAEL FREDERICK CONTINO M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DARRIN MILES FRYER M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DAVID EUGENE CHRISTY M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
WILLIAM PARK M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DR. STEVEN LIN M.D.
Internal Medicine (Critical Care Medicine)
ONE HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-6876

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 George Super's NPI number?

The NPI number for George Super is 1790748507. It was assigned to this individual provider in the NPPES registry on April 11, 2006. The provider is also known as Greg Super M.D..

Where is George Super located?

George Super practices at One Hoag Dr Ecu Dept, Newport Beach, CA 92663. The listed phone number is (949) 764-5689.

What is George Super's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is George Super enrolled in Medicare?

Yes. George Super is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for George Super's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Super reassigns Medicare benefits to Newport Emergency Medical Group Inc (Newport Beach, 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 George Super'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 George Super was last updated on September 20, 2012. 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.