ATUL KUMAR JAIN M.D.
NPI 1194905711
Ophthalmology in San Diego, CA

Active since November 12, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7695 CARDINAL COURT, SUITE 100, SAN DIEGO, CA 92123(858) 609-7100(858) 609-7100 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atul Kumar Jain M.d. NPPES

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

ATUL KUMAR JAIN M.D. (NPI 1194905711) is an individual ophthalmology provider in San Diego, California, licensed in California (A92495) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1194905711
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameATUL KUMAR JAINCredential: M.D.
Location Address7695 CARDINAL COURT, SUITE 100San Diego, CA 92123-3357
Mailing Address7695 Cardinal Court, Suite 100San Diego, CA 92123-3357 · (858) 609-7100 · Fax (858) 609-7100
Fax(858) 609-7100
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004
Enumeration DateNovember 12, 2007
Last NPPES UpdateAugust 26, 2010
NPI 1194905711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A92495
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.
7695 CARDINAL COURT, San Diego, CA 92123

Other Identifiers 5

Medicare UPIN13678CA
Medicare UPIN13678
Medicaid00A924950CA
Medicare PINWA92495A
Medicare PINWA92495ACA

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

Atul Kumar Jain 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 ID4789758962
PECOS Enrollment IDI20080806000355
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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
102,660 services237 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.
2,887 services798 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,753 services290 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.
1,144 services287 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.
888 services511 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
790 services448 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Dermatology
7695 CARDINAL COURT, SUITE 200
SAN DIEGO, CA 92123
Obstetrics & Gynecology
7695 CARDINAL COURT, SUITE 370
SAN DIEGO, CA 92123
Obstetrics & Gynecology
7695 CARDINAL COURT, SUITE 370
SAN DIEGO, CA 92123

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 Atul Jain's NPI number?

The NPI number for Atul Jain is 1194905711. It was assigned to this individual provider in the NPPES registry on November 12, 2007.

Where is Atul Jain located?

Atul Jain practices at 7695 Cardinal Court Suite 100, San Diego, CA 92123. The listed phone number is (858) 609-7100.

What is Atul Jain's specialty?

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

Is Atul Jain enrolled in Medicare?

Yes. Atul Jain 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 Atul Jain was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.