Kevin M. Fussell, M.D.
Pulmonary Disease Physician · Encinitas, CA
Kevin M. Fussell, M.D. is a pulmonary disease physician with a practice address in Encinitas, California, and NPI 1164404901, issued on Nov 17, 2005. Check the license (California C172323, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Kevin M. Fussell
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- C172323 CA
0101269338 VA
067298 GA
Self-reported in NPPES; status is on the state search - Practice location
- 326 Santa FE Dr Ste 100, Encinitas, CA 92024
- Phone
- (760) 230-8994
- Enumerated
- Nov 17, 2005
- Record last updated
- Jul 24, 2025
- Fax
- (760) 944-1309
- Medicaid IDs
- 003121258A GA
003121258D GA - Medicare enrollment
- Enrolled (PECOS I20210616001044); accepts Medicare assignment
- Medical or professional school
- Vanderbilt University School Of Medicine, 1997
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,443 in California → Look up another NPI →
Also registered at 326 Santa FE Dr Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alisha Kabadi, MDPulmonary Disease Physician1356838957
- Alejandro Pino, MDCritical Care Medicine (Internal Medicine) Physician1457748089
- Kevin Shaw, M.DPulmonary Disease Physician1154520864
- Kenneth Trestman, MDPulmonary Disease Physician1346358793
Verify Kevin M. Fussell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license C172323Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4% more Medicare Part D claims than the average pulmonary disease physician in 2024
1,477 Medicare Part D claims for 318 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims.
Most prescribed
- Trelegy Ellipta173 claims
- Montelukast Sodium157 claims
- Eliquis124 claims
- Prednisone106 claims
- Breztri Aerosphere92 claims
- Fluticasone-Salmeterol82 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $211,123.33
273 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Acute Care Associates IncEncinitas, CA
- Scott A Eisman MD IncVista, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin M. Fussell among 1,443 pulmonary disease physician records in California
Kevin M. Fussell, M.D. is one of 1,443 pulmonary disease physician records with a practice address in California. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 93% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated1997 · median 2002 among the 1,061 with a school on file
- Record last updated2025 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in California
There are 1,443 pulmonary disease physician records in California.
All 1,443 in California → Every provider in Encinitas → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Dennis Amundson, DOEncinitas, CA 920241477524403
- Scott Eisman, M.D.Encinitas, CA 920241275511420
- William Hooper, MDEncinitas, CA 920241720052988
- Andrew Hsing, M.D.Encinitas, CA 920241790769131
- Alisha Kabadi, MDEncinitas, CA 920241356838957
- Michael Miller, MDEncinitas, CA 920241790342699
- Robert Savage, M.D.Encinitas, CA 920241881694891
- Kevin Shaw, M.DEncinitas, CA 920241154520864
Common questions
What is Kevin M. Fussell, M.D.'s NPI number?
Kevin M. Fussell, M.D.'s National Provider Identifier (NPI) is 1164404901, issued on Nov 17, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kevin M. Fussell, M.D. located?
The NPPES record lists a practice address at 326 Santa FE Dr Ste 100, Encinitas, CA, 92024. Phone: (760) 230-8994. Providers update this record themselves, so call before visiting.
How can I verify Kevin M. Fussell, M.D.'s license?
NPPES lists California license number C172323, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kevin M. Fussell, M.D. prescribe under Medicare Part D?
In 2024, Kevin M. Fussell, M.D. had 1,477 Medicare Part D claims for 318 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.