EVAN CHISUM MD
NPI 1811037716
Emergency Medicine in Sacramento, CA
About Evan Chisum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN CHISUM MD (NPI 1811037716) is an individual emergency medicine provider in Sacramento, California, licensed in California (A78813) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Evan Chisum 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.
Medicare Billing Reassignments
6Medicare enrollment records show Evan Chisum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 180 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Mariposa, CA 95338
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 63 clinicians in this Medicare group
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 301 clinicians in this Medicare group
Knoxville, TN 37922
- Reassigned Medicare billing, California enrollment
- 23 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Evan Chisum's NPI number?
The NPI number for Evan Chisum is 1811037716. It was assigned to this individual provider in the NPPES registry on February 8, 2007.
Where is Evan Chisum located?
Evan Chisum practices at 4001 J St, Sacramento, CA 95819. The listed phone number is (330) 493-4443.
What is Evan Chisum's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Evan Chisum enrolled in Medicare?
Yes. Evan Chisum 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 organizations bill Medicare for Evan Chisum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Chisum reassigns Medicare benefits to 6 organizations: American Specialty Physicians Group Inc (Modesto, CA), Pacific Redwood Medical Group Inc (Ukiah, CA), Erx Plus Professional Corporation (Mariposa, CA), Trinity Emergency Physicians (Redding, CA), Team Physicians Of California Medical Group Inc (Delano, CA) and 1 more organization, listed in the Medicare section above. Each 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 Evan Chisum'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 Evan Chisum was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Evan Chisum, MD · NPI 1811037716
Emergency Medicine physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1811037716 (Entity type: Individual)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A78813 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4001 J ST, Sacramento, CA 95819-3626
- **Phone:** (330) 493-4443
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): American Specialty Physicians Group Inc (NPI 1164363024, Modesto, CA); Pacific Redwood Medical Group Inc (NPI 1033103676, Ukiah, CA); Erx Plus Professional Corporation (NPI 1336508407, Mariposa, CA); Trinity Emergency Physicians (NPI 1508605635, Redding, CA); Team Physicians Of California Medical Group Inc (NPI 1447288345, Delano, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** June 20, 2013
- **Other identifiers:** Medicaid 00A788130 (CA); Medicare UPIN H60892; Medicare ID-Type Unspecified 00A788130
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Source: [NPI Profile](https://npiprofile.com/npi/1811037716) · Data from the CMS NPPES public registry.