Kevin Fussell, M.D.
NPI 1164404901 · Pulmonary Disease Physician · Encinitas, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Fussell, M.D. is a Pulmonary Disease Physician provider in Encinitas, CA (NPI 1164404901).
Provider details
- NPI number
- 1164404901
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C172323 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,712 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 572 | $120 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 278 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 191 | $97 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 173 | $176 |
| Critical Care, First 30-74 Minutes99291 | 123 | $212 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 173 | 34 |
| Montelukast Sodium | 157 | 51 |
| Apixabanbrand: Eliquis | 124 | 32 |
| Prednisone | 106 | 52 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 92 | 25 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 82 | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$211,123 across 273 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 354 Santa Fe Dr Ste 100Encinitas, CA 92024-5142Phone: (760) 230-8994Fax: (760) 944-1309
- 2067 W Vista Way Ste 160Vista, CA 92083-6032Phone: (760) 230-8994Fax: (760) 944-1309
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Kevin Fussell's NPI number?
- Kevin Fussell's National Provider Identifier (NPI) is 1164404901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Fussell's specialty?
- Kevin Fussell is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Fussell located?
- Kevin Fussell's practice location on file with NPPES is 326 Santa Fe Dr Ste 100, Encinitas, CA 92024-5157.
- What is Kevin Fussell's phone number?
- The practice phone number listed in the NPPES registry for Kevin Fussell is (760) 230-8994.
- Does Kevin Fussell accept Medicare?
- Kevin Fussell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Fussell's NPI active?
- Yes — Kevin Fussell's NPI (1164404901) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.