DR. ELIZABETH SUWARTONO PAGLER (M.D.) – Family Medicine Physician, NPI 1295185254
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. ELIZABETH SUWARTONO PAGLER (M.D.)
11398 KENYON WAY STE J
RANCHO CUCAMONGA, CA 917019229
Phone: (909) 727-3911
Fax: (909) 727-3925
Type: Mailing
12408 HESPERIA RD STE 21
VICTORVILLE, CA 923957718
Phone: (760) 553-7000
Fax: (760) 269-1275
Type: Location
Hesperia Road, Victorville, San Bernardino County, California, 92395, United States
VICTORVILLE, CA 923955808
Phone: (760) 245-4747
Fax: (760) 245-4868
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,091.
Total Amount is formed as General ($1,091) + Research ($0) + Ownership ($0) = $1,091.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($312).
Total Amount
$1,091
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,091
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $312 |
| Lilly USA, LLC | $173 |
| Exact Sciences Corporation | $97 |
| Amgen Inc. | $92 |
| AstraZeneca Pharmaceuticals LP | $91 |
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: 2023-03-06
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230306001482 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| O P T O M E T R Y | CA | |
| Family Practice | CA | |
| Internal Medicine | HI | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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