Doctor profile · Federal record
Dr. Phaysane Oudom, D.P.T.
Physical Therapist (CMS: Physical Therapist in Private Practice) · La Mesa, CA
- NPI 1265658405
- Accepts Medicare
- MIPS 73.6 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7862 El Cajon Blvd
La Mesa, CA 919413625
(619) 644-6452
fax (619) 466-7528 - Mailing address
-
6529 Reflection Dr Apt 114
San Diego, CA 921243174
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- California #PT 32527
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265658405. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
165
Distinct HCPCS
2
Medicare allowed
$6,357
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 146 | 26 | $29 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 19 | 19 | $110 |
In context: peer comparison
Among 16 peers in this city , average services per provider: 322. This provider delivers 0.5× the peer median.Frequently asked questions
What is Dr. Phaysane Oudom's medical specialty?
Dr. Phaysane Oudom practices Physical Therapist in La Mesa, CA.
Where does Dr. Phaysane Oudom practice?
Dr. Phaysane Oudom practices at 7862 El Cajon Blvd, La Mesa, CA 919413625. Office phone: 6196446452.
What is Dr. Phaysane Oudom's NPI?
Dr. Phaysane Oudom's National Provider Identifier (NPI) is 1265658405, issued by NPPES.
Does Dr. Phaysane Oudom accept Medicare assignment?
Yes. Dr. Phaysane Oudom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Phaysane Oudom commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Evaluation for physical therapy, typically 30 minutes (HCPCS 97162). Source: CMS Medicare Physician & Other Practitioners file.