PHILLIP ANDREW JURSON (MD) – Anesthesiology Physician, NPI 1992752059

PHILLIP ANDREW JURSON (MD) is a healthcare provider. based in Walnut creek, California. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. G788710 (CA). The NPI Number for PHILLIP ANDREW JURSON (MD) is 1992752059

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP ANDREW JURSON (MD)
NPI
1992752059
Phone
(503) 372-2740
Address
1600 RIVIERA AVE
Enumeration Date
27 May 2006
Last Update Date
25 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
4152091300
Graduation Year
1992 (34 years ago)
PAC ID
9638233125
Group Practice PAC ID
1850334384
Professional Enrollment ID
I20090128000236
Address ID
CA949455009NO180XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for PHILLIP ANDREW JURSON (MD)

  • 1600, Riviera Avenue, Walnut Creek, Contra Costa County, California, 94596, United States

    SUITE 420

    WALNUT CREEK, CA 945963569

    Phone: (503) 372-2740

    Fax: (503) 372-2754

    Type: Mailing

  • 3700, California Street, Jordan Park, San Francisco, California, 94118, United States

    SAN FRANCISCO, CA 941181618

    Phone: (415) 719-0000

    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: 2009-01-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090128000236IAnesthesiologyCATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 94596)

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Provider's Procedures

PHILLIP ANDREW JURSON (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1414

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: 1850334384View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Does PHILLIP ANDREW JURSON (MD) have a public NPI I can cite?
Public records show PHILLIP ANDREW JURSON (MD) under NPI 1992752059.
Should I treat PHILLIP ANDREW JURSON (MD) as an active provider?
Patients and plans typically see PHILLIP ANDREW JURSON (MD) as active in the national extract.
How should patients interpret PHILLIP ANDREW JURSON (MD)'s specialty?
The extract shows Anesthesiology Physician for PHILLIP ANDREW JURSON (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to PHILLIP ANDREW JURSON (MD)?
PHILLIP ANDREW JURSON (MD) is associated with Walnut Creek, California in the same public data insurers reference.
Can I export PHILLIP ANDREW JURSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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