BERNARD J. LICHTENSTEIN (M.D.) – Internal Medicine Physician, NPI 1104878073

BERNARD J. LICHTENSTEIN (M.D.) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A37396 (CA). The NPI Number for BERNARD J. LICHTENSTEIN (M.D.) is 1104878073

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
BERNARD J. LICHTENSTEIN (M.D.)
NPI
1104878073
Phone
(619) 550-8862
Address
8853 SPECTRUM CENTER BLVD APT 7111
Enumeration Date
17 May 2006
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192642591
Graduation Year
1979 (47 years ago)
PAC ID
1052363918
Group Practice PAC ID
1951547637
Professional Enrollment ID
I20080331000240
Address ID
CA921133223SA3802XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

Provider Addresses for BERNARD J. LICHTENSTEIN (M.D.)

  • 8853 SPECTRUM CENTER BLVD APT 7111

    SAN DIEGO, CA 921231470

    Phone: (619) 550-8862

    Type: Location

  • 8853 Spectrum Center Blvd Apt 7111

    San Diego, CA 921231470

    Phone: (619) 550-8862

    Type: Location

  • 4282 GENESEE AVE STE 303

    SAN DIEGO, CA 921174962

    Phone: (619) 550-8862

    Fax: (877) 929-2504

    Type: Location

  • Poinsettia Avenue, Vista, San Diego County, California, 92078, United States

    VISTA, CA 920818451

    Phone: (760) 295-9770

    Fax: (760) 598-8150

    Type: Mailing

  • 1329 GARFIELD ST

    CALEXICO, CA 922314308

    Phone: (619) 361-0123

    Fax: (877) 929-2504

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$172

General + Research + Ownership

Payments

3

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-03-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080331000240IInternal MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10032$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes6534$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4427$0
99214Established patient office or other outpatient visit, 30-39 minutes3524$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2727$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951547637View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

How do payers reference BERNARD J. LICHTENSTEIN (M.D.)?
For BERNARD J. LICHTENSTEIN (M.D.), use NPI 1104878073 as the unique 10-digit identifier.
Is BERNARD J. LICHTENSTEIN (M.D.) shown as active in public data?
Registry records indicate BERNARD J. LICHTENSTEIN (M.D.) maintains an active NPI.
What area of care is associated with BERNARD J. LICHTENSTEIN (M.D.)?
BERNARD J. LICHTENSTEIN (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BERNARD J. LICHTENSTEIN (M.D.)?
Directory geography for BERNARD J. LICHTENSTEIN (M.D.) centers on San Diego, California.
When was this NPI issued?
Enumeration for BERNARD J. LICHTENSTEIN (M.D.) is noted as May 17, 2006 where the registry provides it.

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