DR. KRISTA GOUGH BOCKSTAHLER (MD) – Pediatric Anesthesiology Physician, NPI 1689633257
Pediatric Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,371 ANESTHESIOLOGY in CA
Provider Addresses for DR. KRISTA GOUGH BOCKSTAHLER (MD)
3626 Ruffin Rd
San Diego, CA 921231810
Phone: (858) 565-9666
Fax: (858) 565-9441
Type: Location
3020 CHILDRENS WAY
MC5003
SAN DIEGO, CA 921234223
Phone: (858) 576-1700
Type: Mailing
3626, Ruffin Road, San Diego, San Diego County, California, 92123, United States
SAN DIEGO, CA 921231810
Phone: (858) 565-9666
Fax: (858) 565-9441
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $34 |
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: 2012-09-25
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 |
|---|---|---|---|---|
| I20120925000624 | I | Anesthesiology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00104 | Anesthesia for electroshock therapy | 54 | 31 | $0 |
Insurance plans in this area (ZIP 92123)
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