DR. ERIKA MAE REYES O.D.
NPI 1043695646
Optometrist in San Francisco, CA

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
490 ILLINOIS STREET, SAN FRANCISCO, CA 94143(415) 353-2800(415) 353-2654 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erika Mae Reyes O.d. NPPES

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

DR. ERIKA MAE REYES O.D. (NPI 1043695646) is an individual optometrist in San Francisco, California, licensed in California (15387) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California - School Of Optometry (2015).

NPPES Registry Identity

NPI1043695646
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERIKA MAE REYESCredential: O.D.
Location Address490 ILLINOIS STREETSan Francisco, CA 94143
Mailing Address490 Illinois StreetSan Francisco, CA 94143 · (415) 353-2800 · Fax (415) 353-2654
Fax(415) 353-2654
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1043695646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 15387
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
490 ILLINOIS STREET, San Francisco, CA 94143

Secondary Practice Location 1

Location 1540 Davis StSan Francisco, CA 94111-1902 · Phone (415) 956-1850

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

Dr. Erika Mae Reyes O.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 ID42528374
PECOS Enrollment IDI20151006000958
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 4

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 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.
39 services29 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.
24 services19 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.
20 services20 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
490 ILLINOIS STREET, FLOOR 5
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
490 ILLINOIS STREET, 10TH FLOOR, BOX 0132
SAN FRANCISCO, CA 94143
Nurse Practitioner
490 ILLINOIS STREET, FLOOR 9, BOX 0608
SAN FRANCISCO, CA 94143

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 Erika Mae Reyes's NPI number?

The NPI number for Erika Mae Reyes is 1043695646. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Erika Mae Reyes located?

Erika Mae Reyes practices at 490 Illinois Street, San Francisco, CA 94143. The listed phone number is (415) 353-2800.

What is Erika Mae Reyes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Erika Mae Reyes enrolled in Medicare?

Yes. Erika Mae Reyes 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 Erika Mae Reyes accept?

Health plans from Providence Health Plan list Erika Mae Reyes 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 Erika Mae Reyes was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.