2026 NPPES data Plastic Surgery Physician NPI 1952340176 M.D.
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JAMES PERTSCH, M.D.

Plastic Surgery Physician in SAN MATEO, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
104
Medicare Part D claims · 58 beneficiaries · Plastic Surgery Physician avg: 84

What the federal data shows

JAMES PERTSCH, M.D. filed 104 Medicare Part D claims in 2023 as a Plastic Surgery Physician in SAN MATEO, California.

104
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES PERTSCH, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

104 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

JAMES PERTSCH, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES PERTSCH, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/05/2006

NPI 1952340176

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

104 24% vs specialty avg

2023 prescription claims

Specialty avg: 84

Specialty distribution in California

How Plastic Surgery Physician compares to other specialties among California providers

California providers

Plastic Surgery Physician share within California

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES PERTSCH, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 104 ST.MATTHEWS AVE, SAN MATEO, CA, 94401, with a listed phone of (650) 344-8700. NPI 1952340176 was issued on 06/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PERTSCH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 104 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $20K in drug spend, with an opioid prescribing rate of 46.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

104 ST.MATTHEWS AVE
SAN MATEO, CA 94401

Provider Details

NPI 1952340176
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/05/2006

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JAMES PERTSCH, M.D.. To verify JAMES PERTSCH, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

104
Total Claims
$20K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
900
Generic Drug Cost
$743
Opioid Claims
48 (46.2% rate)

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
0.75
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES PERTSCH, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
47
Diazepam
26
Ibuprofen
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery Physician Overview

How JAMES PERTSCH, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

JAMES PERTSCH, M.D.'s 104 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as PERTSCH.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES PERTSCH, M.D.'s specialty?
JAMES PERTSCH, M.D. specializes in Plastic Surgery Physician and practices in SAN MATEO, California. Credentials: M.D..
How much does JAMES PERTSCH, M.D. prescribe under Medicare Part D?
In 2023, JAMES PERTSCH, M.D. wrote 104 Medicare Part D claims totaling $20K in drug costs for 58 beneficiaries.
Where is JAMES PERTSCH, M.D. located?
JAMES PERTSCH, M.D. is located at 104 ST.MATTHEWS AVE, SAN MATEO, CA, 94401. Phone: (650) 344-8700.
What is JAMES PERTSCH, M.D.'s NPI number?
JAMES PERTSCH, M.D.'s National Provider Identifier (NPI) is 1952340176, issued on 06/05/2006.
Does JAMES PERTSCH, M.D. prescribe opioids?
Yes, JAMES PERTSCH, M.D. had 48 opioid claims in 2023 with an opioid prescribing rate of 46.2%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does JAMES PERTSCH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES PERTSCH, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Diazepam, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES PERTSCH, M.D. accept Medicare?
JAMES PERTSCH, M.D. appears in CMS Medicare data with 104 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES PERTSCH, M.D.'s credentials?
JAMES PERTSCH, M.D.'s NPI is 1952340176 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology