DR. PAUL L. PRENDIVILLE M.D.
NPI 1073507190
Ophthalmology in Laguna Hills, CA

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
69.06/100
CMS Quality Rating
23961 CALLE DE LA MAGDALENA, STE. 302, LAGUNA HILLS, CA 92653(949) 588-2020(949) 588-0336 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul L. Prendiville M.d. NPPES

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

DR. PAUL L. PRENDIVILLE M.D. (NPI 1073507190) is an individual ophthalmology provider in Laguna Hills, California, licensed in California (G73434) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1990).

NPPES Registry Identity

NPI1073507190
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL L. PRENDIVILLECredential: M.D.
Location Address23961 CALLE DE LA MAGDALENA, STE. 302Laguna Hills, CA 92653-3616
Mailing Address23961 Calle De La Magdalena, Ste. 302Laguna Hills, CA 92653-3616 · (949) 588-2020 · Fax (949) 588-0336
Fax(949) 588-0336
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1990
Enumeration DateSeptember 2, 2005
Last NPPES UpdateNovember 13, 2007
NPI 1073507190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G73434
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.

23961 CALLE DE LA MAGDALENA, Laguna Hills, CA 92653

Other Identifiers 7

Medicare PINW12044BCA
Medicare UPING18838CA
Medicare PINCK3068CA
Medicare PINWG73434BCA
Medicare PINW12044CA
Medicaid00G734340CA
Medicare PINWG73434CCA

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. Paul L. Prendiville 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 ID1850396748
PECOS Enrollment IDI20100422000603
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.

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.
622 services324 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.
449 services445 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.
229 services201 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).
180 services172 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.
169 services128 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
156 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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.

69.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.5
Improvement Activities40
Cost42.86

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
54%166 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
77%190 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
100%403 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
2%50 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
80%5,985 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 1,573 patients
Patients screened: 93% · 1,573 patients
57%44 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
84%455 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
58%123 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,033 patients
Patients totalRate: 0% · 3,033 patients
0%3,033 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.

Ophthalmology
23961 CALLE DE LA MAGDALENA, STE. 302
LAGUNA HILLS, CA 92653
Neurological Surgery
23961 CALLE DE LA MAGDALENA, 504
LAGUNA HILLS, CA 92653
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
23961 CALLE DE LA MAGDALENA, SUITE # 430
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology (Reproductive Endocrinology)
23961 CALLE DE LA MAGDALENA, SUITE 541
LAGUNA HILLS, CA 92653
Eyewear Supplier
23961 CALLE DE LA MAGDALENA, SUITE 302
LAGUNA HILLS, CA 92653
Internal Medicine
23961 CALLE DE LA MAGDALENA, SUITE 400
LAGUNA HILLS, CA 92653
Ophthalmology
23961 CALLE DE LA MAGDALENA, STE. 302
LAGUNA HILLS, CA 92653
Specialist
23961 CALLE DE LA MAGDALENA, STE 426
LAGUNA HILLS, CA 92653

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 Paul Prendiville's NPI number?

The NPI number for Paul Prendiville is 1073507190. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Paul Prendiville located?

Paul Prendiville practices at 23961 Calle De La Magdalena Ste. 302, Laguna Hills, CA 92653. The listed phone number is (949) 588-2020.

What is Paul Prendiville's specialty?

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

Is Paul Prendiville enrolled in Medicare?

Yes. Paul Prendiville 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 Paul Prendiville 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 and 1 other insurer list Paul Prendiville 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 Paul Prendiville was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.