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DR. ROBERT ELLSWORTH YOUNG II M.D.
NPI 1790777662
Obstetrics & Gynecology in Jackson, CA

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
100 MISSION BLVD, SUITE 2800, JACKSON, CA 95642(209) 257-0177(209) 257-0176 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Ellsworth Young Ii M.d. NPPES

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

DR. ROBERT ELLSWORTH YOUNG II M.D. (NPI 1790777662) is an individual obstetrics & gynecology provider in Jackson, California, licensed in California (G86327) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1975).

NPPES Registry Identity

NPI1790777662
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROBERT ELLSWORTH YOUNG IICredential: M.D.
Location Address100 MISSION BLVD, SUITE 2800Jackson, CA 95642-2536
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(209) 257-0177
Fax(209) 257-0176
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1975
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 29, 2015
✔ NPI 1790777662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G86327
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 MISSION BLVD, Jackson, CA 95642
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Other Identifiers 4

Medicare ID-Type UnspecifiedZZZ275702
Medicare PINAX242WCA
Medicare UPINB09948
Medicaid00G863270CA

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. Robert Ellsworth Young Ii 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 ID6507761277
PECOS Enrollment IDI20031223000490
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 13

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

APRIL MICHELLE BOITANO C.N.M, W.H.N.P
Advanced Practice Midwife
100 MISSION BLVD, SUITE 2800
JACKSON, CA 95642
Amador County (209) 257-0177
DENISE LACK N.P.
Nurse Practitioner
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
DR. AMY A. APPLETON M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
SUTTER VALLEY HOSPITALS
Clinical Medical Laboratory
100 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7540
DR. AYE MYAT MOE M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1725
COURTNEY PARKER PA-C
Physician Assistant
100 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7615
DR. VIKRAM RAMKUMAR KUMAR M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
MAUREEN PATRICIA MOONEY-MICHELS R.D., C.D.E.
Dietitian, Registered
100 MISSION BLVD, OUTPATIENT DIABETES EDUCATION PROGRAM
JACKSON, CA 95642
Amador County (209) 223-7448

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 Robert Young's NPI number?

The NPI number for Robert Young is 1790777662. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Robert Young located?

Robert Young practices at 100 Mission Blvd Suite 2800, Jackson, CA 95642. The listed phone number is (209) 257-0177.

What is Robert Young's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Young enrolled in Medicare?

Yes. Robert Young 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 Robert Young was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.