DR. MICHAEL KERMANI MD
NPI 1013010685
Ophthalmology in Newport Beach, CA

Q: What is Michael Kermani's NPI number?

The NPI number for Michael Kermani is 1013010685. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Michael Kermani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kermani was last updated on August 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

30/100

CMS Quality Rating

1441 AVOCADO AVE, 501, NEWPORT BEACH, CA 92660(949) 836-1690(949) 640-2090 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Michael Kermani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL KERMANI MD (NPI 1013010685) is an individual ophthalmology provider in Newport Beach, California, licensed in California (A75009) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1013010685

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MICHAEL KERMANICredential: MD

Location Address1441 AVOCADO AVE, 501Newport Beach, CA 92660-7721

Mailing AddressP O Box 10711Newport Beach, CA 92658 · (949) 836-1690 · Fax (949) 640-2090

Phone(949) 836-1690

Fax(949) 640-2090

Sole ProprietorYes

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997

Enumeration DateSeptember 7, 2006

Last NPPES UpdateAugust 20, 2007

✔ NPI 1013010685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A75009

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1441 AVOCADO AVE, Newport Beach, CA 92660

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Other Identifiers 2

Medicaid00A750090CA

Medicare UPINH47530CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Kermani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719952571

PECOS Enrollment IDI20040826000806

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

1,971 services1,550 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

1,436 services1,037 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,379 services985 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

746 services746 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

517 services387 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

405 services327 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

373 services227 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

353 services263 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

302 services230 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

299 services234 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

168 services150 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

121 services121 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

117 services87 patients

Extended exam of the back part of the eye with retinal drawing 92201

111 services80 patients

New patient complete exam of visual system 92004

90 services90 patients

Established patient complete exam of visual system 92014

71 services65 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

68 services68 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

55 services21 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

43 services40 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

37 services28 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

37 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID CHARLES HERZLINGER M.D.

Specialist

1441 AVOCADO AVE, SUITE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

DR. BRUCE T BURTON M.D.

Anesthesiology

1441 AVOCADO AVE, SUITE 103
NEWPORT BEACH, CA 92660

Orange County (949) 718-3600

DR. ALI REZA MOATTARI M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1441 AVOCADO AVE, SUITE 807
NEWPORT BEACH, CA 92660

Orange County (949) 706-7706

JEANNE MAIRE SPUDICK D.O.

Internal Medicine (Infectious Disease)

1441 AVOCADO AVE, SUITE 409
NEWPORT BEACH, CA 92660

Orange County (949) 640-4501

DR. ROBERT BRUCE COYE D.D.S.

Dentist (Prosthodontics)

1441 AVOCADO AVE, SUITE 508
NEWPORT BEACH, CA 92660

Orange County (949) 640-5680

DR. SURINDER SINGH SAINI M.D.

Internal Medicine (Gastroenterology)

1441 AVOCADO AVE, SUITE 807
NEWPORT BEACH, CA 92660

Orange County (949) 650-5155

DR. ASHTON A. KAIDI M.D.

Surgery (Plastic and Reconstructive Surgery)

1441 AVOCADO AVE, SUITE 601
NEWPORT BEACH, CA 92660

Orange County (949) 640-8576

PETER H BROEKELSCHEN MD INC

Internal Medicine (Gastroenterology)

1441 AVOCADO AVE, SUITE 607
NEWPORT BEACH, CA 92660

Orange County (949) 759-1042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kermani's NPI number?

The NPI number for Michael Kermani is 1013010685. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Michael Kermani located?

Michael Kermani practices at 1441 Avocado Ave 501, Newport Beach, CA 92660. The listed phone number is (949) 836-1690.

What is Michael Kermani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Kermani enrolled in Medicare?

Yes. Michael Kermani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Kermani accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Kermani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kermani was last updated on August 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.