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BROOKLYN BOWCUT PA-S
NPI 1871177568
Physician Assistant in San Diego, CA

Active since May 08, 2021PECOS EnrolledAccepts Medicare Assignment
4142 ADAMS AVE STE 102, SAN DIEGO, CA 92116(858) 554-1212(858) 795-1195 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, May 8, 2021 (2 updates tracked since 2021).

About Brooklyn Bowcut Pa-s NPPES

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

BROOKLYN BOWCUT PA-S (NPI 1871177568) is an individual physician assistant in San Diego, California, licensed in California (PA61845) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871177568
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKLYN BOWCUTCredential: PA-S
Location Address4142 ADAMS AVE STE 102San Diego, CA 92116-2593
Mailing Address9850 Genesee Ave Ste 320La Jolla, CA 92037-1208 · (858) 554-1212 · Fax (858) 795-1195
Phone(858) 554-1212
Fax(858) 795-1195
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2021
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1871177568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA61845
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4142 ADAMS AVE STE 102, San Diego, CA 92116
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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

Brooklyn Bowcut Pa-s 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 ID1658748215
PECOS Enrollment IDI20221110002065
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 2

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 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.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92116 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

SUSAN J TAYLOR MD
Family Medicine
4142 ADAMS AVE STE 102
SAN DIEGO, CA 92116
San Diego County (858) 554-1212
MONICA PERLMAN MD INC.
Clinic/Center (Primary Care)
4142 ADAMS AVE STE 102
SAN DIEGO, CA 92116
San Diego County (858) 617-0717

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 Brooklyn Bowcut's NPI number?

The NPI number for Brooklyn Bowcut is 1871177568. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Brooklyn Bowcut located?

Brooklyn Bowcut practices at 4142 Adams Ave Ste 102, San Diego, CA 92116. The listed phone number is (858) 554-1212.

What is Brooklyn Bowcut's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooklyn Bowcut enrolled in Medicare?

Yes. Brooklyn Bowcut 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 Brooklyn Bowcut was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.