DR. MICHELLE SATO M.D.
NPI 1225326580
Ophthalmology in Los Angeles, CA

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
420 E 3RD ST, STE 603, LOS ANGELES, CA 90013(213) 680-1551(213) 680-2148 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michelle Sato M.d. NPPES

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

DR. MICHELLE SATO M.D. (NPI 1225326580) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A125720) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2008).

NPPES Registry Identity

NPI1225326580
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHELLE SATOCredential: M.D.
Location Address420 E 3RD ST, STE 603Los Angeles, CA 90013-1645
Mailing Address420 E 3rd St, Ste 603Los Angeles, CA 90013-1645 · (213) 680-1551 · Fax (213) 680-2148
Fax(213) 680-2148
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2008
Enumeration DateJuly 20, 2011
Last NPPES UpdateApril 9, 2018
NPI 1225326580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A125720
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.

420 E 3RD ST, Los Angeles, CA 90013

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

Dr. Michelle Sato 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 ID345475232
PECOS Enrollment IDI20131031000343
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.

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.
1,090 services646 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.
800 services701 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.
753 services532 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).
461 services445 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
432 services426 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.
331 services300 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90013 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
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%85 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology
420 E 3RD ST, SUITE 809
LOS ANGELES, CA 90013
Specialist
420 E 3RD ST, SUITE 603
LOS ANGELES, CA 90013
Physical Therapist
420 E 3RD ST
LOS ANGELES, CA 90013
Specialist
420 E 3RD ST, SUITE 603
LOS ANGELES, CA 90013
Durable Medical Equipment & Medical Supplies
420 E 3RD ST, SUITE 603
LOS ANGELES, CA 90013
Optometrist
420 E 3RD ST, SUITE 603
LOS ANGELES, CA 90013
Optometrist
420 E 3RD ST, SUITE 603
LOS ANGELES, CA 90013
Physical Therapist
420 E 3RD ST, #703
LOS ANGELES, CA 90013

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 Michelle Sato's NPI number?

The NPI number for Michelle Sato is 1225326580. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Michelle Sato located?

Michelle Sato practices at 420 E 3rd St Ste 603, Los Angeles, CA 90013. The listed phone number is (213) 680-1551.

What is Michelle Sato's specialty?

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

Is Michelle Sato enrolled in Medicare?

Yes. Michelle Sato 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 Michelle Sato 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 Michelle Sato 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 Michelle Sato was last updated on April 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.