ARTHUR J EDELSTEIN MD M.D.
NPI 1043256175
Optometrist - Vision Therapy in Lynwood, CA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3737 MARTIN LUTHER KING JR BLVD, #340, LYNWOOD, CA 90262(310) 638-0402(310) 638-5786 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2020, Jan 3, 2020 (2 updates tracked since 2020).

About Arthur J Edelstein Md M.d. NPPES

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

ARTHUR J EDELSTEIN MD M.D. (NPI 1043256175) is an individual vision therapy provider in Lynwood, California, licensed in New York (A40360) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1966).

NPPES Registry Identity

NPI1043256175
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameARTHUR J EDELSTEIN MDCredential: M.D.
Location Address3737 MARTIN LUTHER KING JR BLVD, #340Lynwood, CA 90262-3513
Mailing Address3737 Martin Luther King Jr Blvd, #340Lynwood, CA 90262-3513 · (310) 638-0402 · Fax (310) 638-5786
Fax(310) 638-5786
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1966
Enumeration DateJune 20, 2006
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
NPI 1043256175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License Licensed in NY · A40360
Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

3737 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262

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

Arthur J Edelstein Md M.d. 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 ID547458341
PECOS Enrollment IDI20101221000426
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 10

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.

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.
497 services235 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.
152 services122 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).
70 services69 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.
60 services48 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.
34 services34 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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90262 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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%25 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%29 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%24 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.

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.

Counselor
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Psychologist (Clinical)
3737 MARTIN LUTHER KING JR BLVD, #385
LYNWOOD, CA 90262
Case Manager/Care Coordinator
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Nurse Practitioner
3737 MARTIN LUTHER KING JR BLVD, SUITE 605B
LYNWOOD, CA 90262
Rehabilitation Practitioner
3737 MARTIN LUTHER KING JR BLVD, SUITE 500
LYNWOOD, CA 90262
Day Training/Habilitation Specialist
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Surgery (Trauma Surgery)
3737 MARTIN LUTHER KING JR BLVD, SUITE 404
LYNWOOD, CA 90262
Psychologist (Clinical Child & Adolescent)
3737 MARTIN LUTHER KING JR BLVD, SUITE 612
LYNWOOD, CA 90262

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 Arthur Edelstein Md's NPI number?

The NPI number for Arthur Edelstein Md is 1043256175. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Arthur Edelstein Md located?

Arthur Edelstein Md practices at 3737 Martin Luther King Jr Blvd #340, Lynwood, CA 90262. The listed phone number is (310) 638-0402.

What is Arthur Edelstein Md's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Arthur Edelstein Md enrolled in Medicare?

Yes. Arthur Edelstein Md 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 Arthur Edelstein Md accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Arthur Edelstein Md 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 Arthur Edelstein Md was last updated on January 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.