GRACE BUENAVENTURA O.D.
NPI 1225047541
Optometrist in San Diego, CA

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
300 FIR ST, SAN DIEGO, CA 92101(619) 446-1560(619) 446-1692 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Buenaventura O.d. NPPES

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

GRACE BUENAVENTURA O.D. (NPI 1225047541) is an individual optometrist in San Diego, California, licensed in California (OPT10478T) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1995).

NPPES Registry Identity

NPI1225047541
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGRACE BUENAVENTURACredential: O.D.
Location Address300 FIR STSan Diego, CA 92101-2327
Mailing Address300 Fir StSan Diego, CA 92101-2327 · (619) 446-1560 · Fax (619) 446-1692
Fax(619) 446-1692
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1995
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 14, 2013
NPI 1225047541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · OPT10478T
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

300 FIR ST, San Diego, CA 92101

Other Identifiers 3

Medicare ID-Type UnspecifiedWOP10478ACA
Medicare UPINU88102CA
MedicaidSD0104780CA

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

Grace Buenaventura O.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 ID3678606803
PECOS Enrollment IDI20100809000472
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 4

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 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.
75 services72 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.
71 services69 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
14 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Internal Medicine
300 FIR ST
SAN DIEGO, CA 92101
Preventive Medicine (Occupational Medicine)
300 FIR ST
SAN DIEGO, CA 92101
Pharmacist
300 FIR ST
SAN DIEGO, CA 92101
Pharmacist
300 FIR ST
SAN DIEGO, CA 92101
Family Medicine
300 FIR ST
SAN DIEGO, CA 92101
Physical Therapist
300 FIR ST
SAN DIEGO, CA 92101
Physical Therapist
300 FIR ST
SAN DIEGO, CA 92101
Radiology (Diagnostic Radiology)
300 FIR ST
SAN DIEGO, CA 92101

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 Grace Buenaventura's NPI number?

The NPI number for Grace Buenaventura is 1225047541. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Grace Buenaventura located?

Grace Buenaventura practices at 300 Fir St, San Diego, CA 92101. The listed phone number is (619) 446-1560.

What is Grace Buenaventura's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grace Buenaventura enrolled in Medicare?

Yes. Grace Buenaventura 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 Grace Buenaventura accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Grace Buenaventura 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 Grace Buenaventura was last updated on June 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.