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DR. JAMES N COHN MD
NPI 1043304173
Ophthalmology in Fremont, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
3.09/100
CMS Quality Rating
3775 BEACON AVE, SUITE 140, FREMONT, CA 94538(510) 791-2233(510) 791-0795 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James N Cohn Md NPPES

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

DR. JAMES N COHN MD (NPI 1043304173) is an individual ophthalmology provider in Fremont, California, licensed in California (G57505) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1982).

NPPES Registry Identity

NPI1043304173
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES N COHNCredential: MD
Location Address3775 BEACON AVE, SUITE 140Fremont, CA 94538-1465
Mailing Address3775 Beacon Ave, Suite 140Fremont, CA 94538-1465 · (510) 791-2233 · Fax (510) 791-0795
Phone(510) 791-2233
Fax(510) 791-0795
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1982
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1043304173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G57505
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.

3775 BEACON AVE, Fremont, CA 94538
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Other Identifiers 1

Medicaid1891025813CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. James N Cohn 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 ID6709941727
PECOS Enrollment IDI20090206000548
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 11

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 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.
318 services252 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.
213 services172 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.
186 services128 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).
111 services90 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.
65 services64 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.
52 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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.

3.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost10.3

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
85%20 patients
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
95%245 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
7%45 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,522 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%3,715 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%2,397 patients2/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 27% · 607 patients
27%607 patients
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
2%242 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
16%2,397 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,397 patients1/55-star benchmark: 59%
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 16

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

BARRY SHIBUYA MD INC
Internal Medicine (Rheumatology)
3775 BEACON AVE, SUITE 100
FREMONT, CA 94538
Alameda County (510) 791-1300
DR. GRACE S HO PSY.D.
Psychologist (Clinical)
3775 BEACON AVE, SUITE 208
FREMONT, CA 94538
Alameda County (510) 449-3386
EMERE MEDICAL PROFESSIONAL CORPORATION
Physical Medicine & Rehabilitation (Sports Medicine)
3775 BEACON AVE, SUITE 200
FREMONT, CA 94538
Alameda County (510) 951-2312
MR. STEVEN MICHAEL FANUCCHI M.F.T.
Marriage & Family Therapist
3775 BEACON AVE, 2ND FLOOR
FREMONT, CA 94538
Alameda County (510) 792-4964
MR. JOSEPH YOSI AMRAM MA
Student in an Organized Health Care Education/Training Program
3775 BEACON AVE, CCEC 2ND FLOOR
FREMONT, CA 94538
Alameda County (510) 792-4964
DR. BARRY EIICHI SHIBUYA M.D.
Internal Medicine (Rheumatology)
3775 BEACON AVE, SUITE 100
FREMONT, CA 94538
Alameda County (510) 791-1300
MOTIVATION CONFIDENCE ACHIEVEMENT CORPORATION
Psychologist (Clinical)
3775 BEACON AVE, SUITE 208
FREMONT, CA 94538
Alameda County (510) 449-3386
MRS. BRENDAN WEBSTER CCC-SLP
Speech-Language Pathologist
3775 BEACON AVE, SUITE C
FREMONT, CA 94538
Alameda County (510) 794-5155

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 James Cohn's NPI number?

The NPI number for James Cohn is 1043304173. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is James Cohn located?

James Cohn practices at 3775 Beacon Ave Suite 140, Fremont, CA 94538. The listed phone number is (510) 791-2233.

What is James Cohn's specialty?

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

Is James Cohn enrolled in Medicare?

Yes. James Cohn 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 James Cohn accept?

Health plans from Providence Health Plan list James Cohn 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 James Cohn was last updated on December 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.