DR. MICHAEL T COURIS MD
NPI 1063638682
Ophthalmology in San Diego, CA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
17.05/100
CMS Quality Rating
3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103(619) 291-6191(619) 291-0049 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael T Couris Md NPPES

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

DR. MICHAEL T COURIS MD (NPI 1063638682) is an individual ophthalmology provider in San Diego, California, licensed in California (A53265) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1063638682
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL T COURISCredential: MD
Location Address3969 4TH AVE, SUITE 301San Diego, CA 92103-3165
Mailing Address3969 4th Ave, Suite 301San Diego, CA 92103-3165 · (619) 291-6191 · Fax (619) 291-0049
Fax(619) 291-0049
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1992
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 2, 2012
NPI 1063638682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A53265
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.
3969 4TH AVE, San Diego, CA 92103

Other Identifiers 14

OtherA53265BCA · Medicare Pin-spectrum
Medicaid00A532650CA
Other180046485CA · Rr Medicare
Other00A532651CA · Medi-cal Spectrum
Other522450085CA · Tax Id
Other180046485CA · Palmetto Gba
Medicare PINA53265CA
Medicare PINAW347ZCA
Other00A532651CA · Medicare-spectrum
Other00A532650CA · Blue Shield
OtherP00353462CA · Railroad Medicare
Medicare UPING00585CA
Other4401850001CA · Dmerc
Other5224500859210300CA · Champus

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. Michael T Couris 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 ID2466421441
PECOS Enrollment IDI20060329000316
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 16

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
794 services111 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.
665 services535 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.
369 services198 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.
263 services229 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).
227 services200 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.
221 services183 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

17.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost56.83

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier15 claims15 services$55.16 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims26 services$29.97 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.

Legal Medicine
3969 4TH AVE, STE. 203
SAN DIEGO, CA 92103
Ophthalmology
3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103
Ophthalmology
3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103
Urology
3969 4TH AVE, SUITE 202
SAN DIEGO, CA 92103
Ophthalmology
3969 4TH AVE, SUITE 301
SAN DIEGO, CA 92103
Specialist
3969 4TH AVE, SUITE 300
SAN DIEGO, CA 92103
Optometrist
3969 4TH AVE
SAN DIEGO, CA 92103
Urology
3969 4TH AVE, SUITE 202
SAN DIEGO, CA 92103

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 Couris's NPI number?

The NPI number for Michael Couris is 1063638682. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Michael Couris located?

Michael Couris practices at 3969 4th Ave Suite 301, San Diego, CA 92103. The listed phone number is (619) 291-6191.

What is Michael Couris's specialty?

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

Is Michael Couris enrolled in Medicare?

Yes. Michael Couris 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 Couris accept?

Health plans from Providence Health Plan list Michael Couris 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 Couris was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.