PHILLIP ANDREW THOMAS PRUSACK (MD) – Family Medicine Physician, NPI 1073043378
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for PHILLIP ANDREW THOMAS PRUSACK (MD)
800 S VICTORIA AVE, L4615
VCHCA - PHYSICIAN SERVICES
VENTURA, CA 930090003
Phone: (805) 677-5181
Fax: (805) 677-5304
Type: Mailing
Ventura County Medical Center, 300, Hillmont Avenue, Ventura, Ventura County, California, 93003, United States
VENTURA, CA 930031651
Phone: (805) 652-6556
Fax: (805) 652-3252
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210127000598 | I | Family Practice | WV | TBD |
| I20240306000838 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 18 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 22 | 17 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 19 | 19 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 19 | 19 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 18 | 17 | $0 |
Insurance plans in this area (ZIP 93009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine | PA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | MA | |
| Emergency Medicine | FL | |
| Family Practice, Emergency Medicine | FL |
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