DR. SUSAN LEE DASTA D.O.
NPI 1851452635
Family Medicine in Glendale, CA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1560 E CHEVY CHASE DR, 245, GLENDALE, CA 91206(818) 246-5900 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan Lee Dasta D.o. NPPES

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

DR. SUSAN LEE DASTA D.O. (NPI 1851452635) is an individual family medicine provider in Glendale, California, licensed in Missouri (2002019232) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1851452635
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN LEE DASTACredential: D.O.
Location Address1560 E CHEVY CHASE DR, 245Glendale, CA 91206-4197
Mailing Address1560 E Chevy Chase Dr, 245Glendale, CA 91206-4197 · (818) 246-5900 · Fax (816) 332-6750
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 1, 2016
NPI 1851452635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2002019232
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1560 E CHEVY CHASE DR, Glendale, CA 91206

Other Identifiers 9

Medicaid200587160BKS
Other31636039Bluecross Blueshield Of Kansas City
Medicare ID-Type Unspecified000C178MO · Medicare
Medicaid208318808MO
Medicaid200587160AKS
Medicare PINP00662340MO
Medicare PINT37000002MO
Medicare UPINH77235MO
Medicaid1851452635MO

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. Susan Lee Dasta D.o. 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 ID7416029475
PECOS Enrollment IDI20160728001954
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 4

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.
90 services53 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.
22 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1560 E CHEVY CHASE DR, #160
GLENDALE, CA 91206
Surgery
1560 E CHEVY CHASE DR, #430
GLENDALE, CA 91206
Internal Medicine (Cardiovascular Disease)
1560 E CHEVY CHASE DR, 445
GLENDALE, CA 91206
Obstetrics & Gynecology (Gynecology)
1560 E CHEVY CHASE DR, SUITE 200
GLENDALE, CA 91206
Family Medicine
1560 E CHEVY CHASE DR, SUITE#245
GLENDALE, CA 91206
Surgery
1560 E CHEVY CHASE DR, SUITE #450
GLENDALE, CA 91206
Internal Medicine (Cardiovascular Disease)
1560 E CHEVY CHASE DR, SUITE 445
GLENDALE, CA 91206
Internal Medicine
1560 E CHEVY CHASE DR, SUITE 245
GLENDALE, CA 91206

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 Susan Dasta's NPI number?

The NPI number for Susan Dasta is 1851452635. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Susan Dasta located?

Susan Dasta practices at 1560 E Chevy Chase Dr 245, Glendale, CA 91206. The listed phone number is (818) 246-5900.

What is Susan Dasta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Dasta enrolled in Medicare?

Yes. Susan Dasta 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 Susan Dasta was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.