NPIMap

Individual provider Active NPI

Brett Daniel Lebed, MD

  • Urology Physician
  • Santa Maria, CA
National Provider Identifier
1962664409
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C55845 Issued in CA
Practice address
116 S Palisade Dr Ste 110
Santa Maria, CA 93454-8905
Phone
(805) 349-7133
Fax
(805) 349-7137
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30616 SC
Urology Physician 208800000X MD424755 PA
Urology Physician 208800000X C55845 CA Primary

Addresses

Primary practice location

116 S Palisade Dr Ste 110
Santa Maria, CA 93454-8905

Mailing address

225 Prado Rd Ste D
San Luis Obispo, CA 93401-7363
Phone (805) 786-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sm@ua.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000406 CA Practitioner - Urology 5890860217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of the Central Coast 13 clinicians

Practice addresses (Care Compare)

35 Casa St
Suite 370
San Luis Obispo, CA 93405-5835
Phone (805) 541-1111

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19
Melanoma (skin cancer) excision1-10
Removal of the uterus16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C55845CAMDUrology Physician
30616SCMDUrology Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Urology Associates of the Central Coast Urology CurrentSince Jul 1, 2013 Accepting new patients
Urology Associates of the Central Coast Urology CurrentSince Jul 1, 2013 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Central Montgomery Medical Center L L C Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Ephrata Community Hospital Past Accepting new patients
Phoenixville Hospital Company LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 202
Pismo Beach, CA 93449
Phone (805) 473-7818

35 Casa St
Ste 370
San Luis Obispo, CA 93405
Phone (805) 541-1111

116 S Palisade Dr
Ste 110
Santa Maria, CA 93454
Phone (805) 349-7133

525 Plaza Dr
Ste 304
Santa Maria, CA 93454
Phone (805) 349-7133

225 Prado Rd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 786-2500

3599 Sueldo St
Ste 110
Sn Luis Obisp, CA 93401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/
  • Direct secure messaging: sm@ua.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1962664409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PRADO RD STE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017363",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 110",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548905",
            "telephone_number": "805-349-7133",
            "fax_number": "805-349-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBED",
        "first_name": "BRETT",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "30616",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD424755",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C55845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sm@ua.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 S Palisade Dr Ste 110",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934548905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.