DR. SIMON SHEUNG MAN FUNG MD
NPI 1194215665
Ophthalmology in San Francisco, CA

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
74.56/100
CMS Quality Rating
490 ILLINOIS ST, SAN FRANCISCO, CA 94143(415) 514-3987 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, Jul 31, 2024, Jan 22, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Simon Sheung Man Fung Md NPPES

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

DR. SIMON SHEUNG MAN FUNG MD (NPI 1194215665) is an individual ophthalmology provider in San Francisco, California, licensed in California (A174478) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194215665
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SIMON SHEUNG MAN FUNGCredential: MD
Location Address490 ILLINOIS STSan Francisco, CA 94143-2510
Mailing AddressPo Box 743749Los Angeles, CA 90074-3749
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 10, 2018
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1194215665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A174478 Licensed in CA · 535
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.

Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 535 (CA)
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 535 (CA)
490 ILLINOIS ST, San Francisco, CA 94143

Secondary Practice Locations 3

Location 1100 Stein PlzLos Angeles, CA 90095-7065 · Phone (310) 794-9581 · Fax (310) 206-7826
Location 2200 Stein Plaza UclaLos Angeles, CA 90095-7065 · Phone (310) 267-3937 · Fax (310) 206-7826
Location 31001 Potrero Avenue Bldg. 5, 4MSan Francisco, CA 94110-3518 · Phone (415) 206-8304

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. Simon Sheung Man Fung 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 ID1658627179
PECOS Enrollment IDI20180712003213
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 9

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.
104 services65 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
50 services22 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
39 services20 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.
26 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 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.
22 services17 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.

74.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.02
Promoting Interoperability100
Improvement Activities40
Cost30.17

Other Providers at the Same Location NPPES 14

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

Ophthalmology
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Ophthalmology
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Optometrist
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Ophthalmology
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Clinic/Center (Research)
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Optometrist
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Optometrist
490 ILLINOIS ST
SAN FRANCISCO, CA 94143
Ophthalmology (Cornea and External Diseases Specialist)
490 ILLINOIS ST
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 Simon Fung's NPI number?

The NPI number for Simon Fung is 1194215665. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Simon Fung located?

Simon Fung practices at 490 Illinois St, San Francisco, CA 94143. The listed phone number is (415) 514-3987.

What is Simon Fung's specialty?

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

Is Simon Fung enrolled in Medicare?

Yes. Simon Fung 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.

When was this NPI record last updated?

The NPPES record for Simon Fung was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.