Deactivated NPI 1093731325 Deactivated / Inactive NPI Male Practitioner

Dr. David R Jensen , MD

General Practice • Palmdale, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Jensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2006

NPI Deactivation Date July 10, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Jensen, MD was a registered General Practice practicing in Palmdale, CA. Throughout an active medical career spanning 19 years, Dr. Jensen provided care at the practice location at 619 W AVENUE Q until profile deactivation on 2025-07-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, advance care planning, first, advance care planning by the physician or other qualified health care professional. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

619 W Avenue Q
Suite B

Palmdale, CA 935513889

Telephone 6612732556

Fax 6612674847

Associated Practice Facility / Clinic

🏢 David R Jensen Md A Professional Corporation Facility NPI 1518228980

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Palmdale, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Palmdale, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	70	$200.00	$142.00
99497 Advance care planning, first 30 minutes	29	29	$200.00	$92.29
99498 Advance care planning by the physician or other qualified health care professional	27	27	$160.00	$79.56
99443 Telephone medical discussion with physician, 21-30 minutes	25	20	$200.00	$142.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	151	$176.81	$143.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$196.00	$146.62
G0444 Annual depression screening, 5 to 15 minutes	26	26	$60.00	$21.20
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$65.80	$16.58
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$108.75	$101.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$275.00	$199.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$270.00	$185.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	176	$175.00	$119.77
99213 Established patient office or other outpatient visit, typically 15 minutes	53	41	$105.00	$83.62
G0444 Annual depression screening, 5 to 15 minutes	52	52	$60.00	$20.86
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$65.00	$19.40
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	45	45	$100.00	$29.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$180.00	$130.94
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	36	36	$60.00	$19.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$275.00	$163.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$270.00	$192.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$240.00	$182.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	443	173	$112.90	$82.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	158	$171.21	$120.55
93000 Routine ekg using at least 12 leads including interpretation and report	58	49	$67.24	$19.15
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	56	56	$33.75	$19.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$280.85	$188.84
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	41	41	$100.00	$28.61
82947 Blood glucose (sugar) level	41	32	$15.00	$4.28
G0008 Administration of influenza virus vaccine	34	34	$39.56	$18.58
90662 Influenza vaccine split virus, preservative free	33	33	$85.45	$54.81
G0444 Annual depression screening, 5 to 15 minutes	27	27	$60.00	$20.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$185.19	$129.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	26	26	$50.00	$20.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$236.43	$180.79
G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination	11	11	$50.00	$9.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	599	193	$125.00	$80.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	144	$150.00	$116.94
82947 Blood glucose (sugar) level	203	65	$15.00	$4.75
93000 Routine ekg using at least 12 leads including interpretation and report	73	61	$75.00	$18.91
G0008 Administration of influenza virus vaccine	34	33	$35.00	$23.13
90662 Influenza vaccine split virus, preservative free	28	27	$100.00	$52.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	13	$45.00	$23.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$230.00	$179.30
81002 Urinalysis, manual test	13	11	$15.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$118.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$85.00	$48.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	655	187	$124.97	$79.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	163	$149.92	$116.14
82947 Blood glucose (sugar) level	155	56	$15.00	$5.28
93000 Routine ekg using at least 12 leads including interpretation and report	101	78	$75.00	$18.69
G0008 Administration of influenza virus vaccine	50	50	$41.50	$28.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	12	$45.00	$28.23
90662 Influenza vaccine split virus, preservative free	35	35	$66.86	$48.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$230.00	$178.42
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$46.47	$17.48

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G44704

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

✅

NPI Profile Active December 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 23, 2014

Registered at 619 W AVENUE Q, SUITE B, PALMDALE, CA 935513889 (Tel: 6612732556)

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Updated Business Mailing Address December 23, 2014

Registered at 619 W AVENUE Q, SUITE B, PALMDALE, CA 935513889 (Tel: 6612732556)

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Provider Name / Credentials Updated December 23, 2014

Recorded as DAVID JENSEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2014

General Practice (License #G44704 in CA)

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Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093731325

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2006

Last Update: December 23, 2014

Deactivation Date: July 10, 2025

Update or Correct Profile

Mailing Address

619 W Avenue Q, Suite B

Palmdale, CA 935513889

Phone: 6612732556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.