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DR. JAMES L PERTSCH M.D.
NPI 1952340176
Plastic Surgery - Surgery of the Hand in San Mateo, CA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
104 ST.MATTHEWS AVE, SAN MATEO, CA 94401(650) 344-8700(650) 344-8187 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James L Pertsch M.d. NPPES

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

DR. JAMES L PERTSCH M.D. (NPI 1952340176) is an individual surgery of the hand provider in San Mateo, California, licensed in California (G62677) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1981).

NPPES Registry Identity

NPI1952340176
Entity TypeIndividualMale
Primary Taxonomy2082S0105X
Provider Legal NameDR. JAMES L PERTSCHCredential: M.D.
Location Address104 ST.MATTHEWS AVESan Mateo, CA 94401-2807
Mailing Address104 St.matthews AveSan Mateo, CA 94401-2807 · (650) 344-8700 · Fax (650) 344-8187
Phone(650) 344-8700
Fax(650) 344-8187
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1981
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 31, 2017
✔ NPI 1952340176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License✔ Licensed in CA · G62677
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedPlastic SurgeryTaxonomy 208200000X · License G62677 (CA)
104 ST.MATTHEWS AVE, San Mateo, CA 94401
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE89328CA
Medicare PIN00G626770CA

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

Dr. James L Pertsch 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 ID1052377207
PECOS Enrollment IDI20041209000646
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.

Medicare Billing Reassignment

Medicare enrollment records show James Pertsch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

California Hand And Wrist Associates,a Medical Corporation
0.6 mi
Surgery of the Hand
104 SAINT MATTHEWS AVE
San Mateo, CA 94401
  • Reassigned Medicare billing, California enrollment
NPI 1093881682 (650) 344-8700

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
267 services138 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.
191 services120 patients
Injection into tendon at attachment to bone or muscle 20551
This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.
145 services86 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
89 services69 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.
82 services82 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
51 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 James Pertsch's NPI number?

The NPI number for James Pertsch is 1952340176. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is James Pertsch located?

James Pertsch practices at 104 St.Matthews Ave, San Mateo, CA 94401. The listed phone number is (650) 344-8700.

What is James Pertsch's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is James Pertsch enrolled in Medicare?

Yes. James Pertsch 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 organization bills Medicare for James Pertsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pertsch reassigns Medicare benefits to California Hand And Wrist Associates,a Medical Corporation (San Mateo, CA). The 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 James Pertsch'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 James Pertsch was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.