Kevin J Pelton MD Inc

A Medicare group practice based in Los Angeles, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375625486), with 40 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375625486The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20221116000674 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1679771703
O20221116000549 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1821711870
O20080129000252 CA Part B Supplier - Clinic/Group Practice 1679771703

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 40

Clinicians who reassign their Medicare benefits to this group (40) or whom Care Compare lists as members (38).

Sources for this page