ILAN HARTSTEIN M.D.
NPI 1184646283
Ophthalmology in La Palma, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7851 WALKER ST STE 207, LA PALMA, CA 90623(714) 522-4862(714) 522-4293 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, Feb 12, 2020 (2 updates tracked since 2020).

About Ilan Hartstein M.d. NPPES

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

ILAN HARTSTEIN M.D. (NPI 1184646283) is an individual ophthalmology provider in La Palma, California, licensed in California (G59917) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1985).

NPPES Registry Identity

NPI1184646283
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameILAN HARTSTEINCredential: M.D.
Location Address7851 WALKER ST STE 207La Palma, CA 90623-1746
Mailing Address7851 Walker St Ste 207La Palma, CA 90623-1746 · (714) 522-4862 · Fax (714) 522-4293
Fax(714) 522-4293
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1985
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1184646283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G59917
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.

7851 WALKER ST STE 207, La Palma, CA 90623

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

Ilan Hartstein 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 ID3577536556
PECOS Enrollment IDI20040817001302
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 17

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.
576 services389 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.
448 services214 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.
289 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.
158 services147 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).
153 services149 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.
133 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90623 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Ilan Hartstein's NPI number?

The NPI number for Ilan Hartstein is 1184646283. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Ilan Hartstein located?

Ilan Hartstein practices at 7851 Walker St Ste 207, La Palma, CA 90623. The listed phone number is (714) 522-4862.

What is Ilan Hartstein's specialty?

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

Is Ilan Hartstein enrolled in Medicare?

Yes. Ilan Hartstein 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 Ilan Hartstein 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 2 other insurers list Ilan Hartstein 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 Ilan Hartstein was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.