1. Home
  2. Directory
  3. California
  4. San Diego
  5. Ophthalmology
  6. NPI Profile

DR. NICOLE TOPILOW MD
NPI 1215468376
Ophthalmology in San Diego, CA

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
72.33/100
CMS Quality Rating
5330 CARROLL CANYON RD STE 210, SAN DIEGO, CA 92121(858) 450-1010(858) 450-9451 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, Mar 21, 2017 (2 updates tracked since 2017).

About Dr. Nicole Topilow Md NPPES

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

DR. NICOLE TOPILOW MD (NPI 1215468376) is an individual ophthalmology provider in San Diego, California, licensed in California (A171573) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of New York University School Of Medicine (2017).

NPPES Registry Identity

NPI1215468376
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. NICOLE TOPILOWCredential: MD
Location Address5330 CARROLL CANYON RD STE 210San Diego, CA 92121-3758
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (800) 926-8273
Phone(858) 450-1010
Fax(858) 450-9451
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1215468376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A171573
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5330 CARROLL CANYON RD STE 210, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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. Nicole Topilow 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 ID6002210168
PECOS Enrollment IDI20210811002218
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 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.
217 services168 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
89 services80 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.
75 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services53 patients
Insertion of probe into nasal tear duct 68810
The insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.
41 services39 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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.

72.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.34
Promoting Interoperability88
Improvement Activities40
Cost24.44

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.

DR. NGHI UYEN DUONG O.D.
Optometrist
5330 CARROLL CANYON RD STE 210
SAN DIEGO, CA 92121
San Diego County (858) 450-1010
DR. RACHAEL ANN ALLEN D.O
Ophthalmology
5330 CARROLL CANYON RD STE 210
SAN DIEGO, CA 92121
San Diego County (800) 765-2737
CATHERINE RUTH SHEILS MD
Ophthalmology
5330 CARROLL CANYON RD STE 210
SAN DIEGO, CA 92121
San Diego County (800) 345-8979

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 Nicole Topilow's NPI number?

The NPI number for Nicole Topilow is 1215468376. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Nicole Topilow located?

Nicole Topilow practices at 5330 Carroll Canyon Rd Ste 210, San Diego, CA 92121. The listed phone number is (858) 450-1010.

What is Nicole Topilow's specialty?

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

Is Nicole Topilow enrolled in Medicare?

Yes. Nicole Topilow 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 Nicole Topilow accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Nicole Topilow 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 Nicole Topilow was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.