PATRICK TIMOTHY FUSUNYAN DO
NPI 1811564776
Family Medicine - Sports Medicine in San Diego, CA

Q: What is Patrick Fusunyan's NPI number?

The NPI number for Patrick Fusunyan is 1811564776. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Patrick Fusunyan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Fusunyan was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment

1945 GARNET AVE, SAN DIEGO, CA 92109(858) 224-7977(858) 224-7978 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Jun 15, 2021, Jun 9, 2021 (3 updates tracked since 2021).

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About Patrick Timothy Fusunyan Do NPPES

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

PATRICK TIMOTHY FUSUNYAN DO (NPI 1811564776) is an individual sports medicine provider in San Diego, California, licensed in California (20A24331) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clarion, and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2021).

NPPES Registry Identity

NPI1811564776

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NamePATRICK TIMOTHY FUSUNYANCredential: DO

Location Address1945 GARNET AVESan Diego, CA 92109-3523

Mailing Address1945 Garnet AveSan Diego, CA 92109-3523 · (858) 224-7977 · Fax (858) 224-7978

Phone(858) 224-7977

Fax(858) 224-7978

Sole ProprietorYes

Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2021

Enumeration DateJune 9, 2021

Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1811564776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · 20A24331

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OT020938 (PA)

1945 GARNET AVE, San Diego, CA 92109

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Secondary Practice Location 1

Location 124 Doctors Ln Ste 202Clarion, PA 16214-8574 · Phone (814) 226-2500 · Fax (814) 226-4505

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

Patrick Timothy Fusunyan Do 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 ID1355717307

PECOS Enrollment IDI20260106002027

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 92109 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

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 7

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

GET WELL STAY WELL MEDICAL

Family Medicine (Adult Medicine)