JOSEPH F BARAKEH DO PHD
NPI 1013990613
Ophthalmology in Walnut Creek, CA

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
80.36/100
CMS Quality Rating
1855 SAN MIGUEL DR, #28, WALNUT CREEK, CA 94596(925) 935-4978(925) 935-9542 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joseph F Barakeh Do Phd NPPES

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

JOSEPH F BARAKEH DO PHD (NPI 1013990613) is an individual ophthalmology provider in Walnut Creek, California, licensed in California (20A8002) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1013990613
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSEPH F BARAKEHCredential: DO PHD
Location Address1855 SAN MIGUEL DR, #28Walnut Creek, CA 94596-5214
Mailing Address1855 San Miguel Dr, #28Walnut Creek, CA 94596-5214 · (925) 935-4978 · Fax (925) 935-9542
Fax(925) 935-9542
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 29, 2005
Last NPPES UpdateMay 16, 2008
NPI 1013990613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · 20A8002
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.

1855 SAN MIGUEL DR, Walnut Creek, CA 94596

Other Identifiers 3

Medicare UPINH53435
Medicaid00AX80020CA
Medicare ID-Type Unspecified020A80020CA

Accepted 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

Joseph F Barakeh Do Phd 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 ID9739136920
PECOS Enrollment IDI20050330001279
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 15

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.

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.
730 services714 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.
556 services549 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.
413 services277 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
280 services190 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
191 services177 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
172 services164 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

80.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Improvement Activities40
Cost55.1

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%50 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%20 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$69.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Oral & Maxillofacial Surgery
1855 SAN MIGUEL DR, STE 25
WALNUT CREEK, CA 94596
Plastic Surgery
1855 SAN MIGUEL DR, SUITE 4
WALNUT CREEK, CA 94596
Psychologist (Clinical)
1855 SAN MIGUEL DR, STE 23
WALNUT CREEK, CA 94596
Dentist (Orthodontics and Dentofacial Orthopedics)
1855 SAN MIGUEL DR, #22
WALNUT CREEK, CA 94596
Dentist
1855 SAN MIGUEL DR, STE 12
WALNUT CREEK, CA 94596
Eyewear Supplier
1855 SAN MIGUEL DR, #27A
WALNUT CREEK, CA 94596
Clinic/Center (Dental)
1855 SAN MIGUEL DR, SUITE 1
WALNUT CREEK, CA 94596
Dentist (Orthodontics and Dentofacial Orthopedics)
1855 SAN MIGUEL DR, SUITE 14
WALNUT CREEK, CA 94596

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 Joseph Barakeh's NPI number?

The NPI number for Joseph Barakeh is 1013990613. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Joseph Barakeh located?

Joseph Barakeh practices at 1855 San Miguel Dr #28, Walnut Creek, CA 94596. The listed phone number is (925) 935-4978.

What is Joseph Barakeh's specialty?

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

Is Joseph Barakeh enrolled in Medicare?

Yes. Joseph Barakeh 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 Joseph Barakeh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Joseph Barakeh 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 Joseph Barakeh was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.