BRIAN ALVA O.D.
NPI 1225488612
Optometrist in Upland, CA

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
81.53/100
CMS Quality Rating
555 N 13TH AVE, UPLAND, CA 91786(909) 982-8846 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2019, Jun 15, 2016 (2 updates tracked since 2016).

About Brian Alva O.d. NPPES

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

BRIAN ALVA O.D. (NPI 1225488612) is an individual optometrist in Upland, California, licensed in California (33393) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1225488612
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN ALVACredential: O.D.
Location Address555 N 13TH AVEUpland, CA 91786-4904
Mailing Address555 N 13th AveUpland, CA 91786-4904 · (909) 982-8846
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
NPI 1225488612 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 · 33393
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.

555 N 13TH AVE, Upland, CA 91786

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

Brian Alva 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 ID2163719667
PECOS Enrollment IDI20160927002983
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 8

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.
174 services136 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.
83 services65 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.
80 services76 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.
37 services34 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.
30 services30 patients
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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

81.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.99
Promoting Interoperability72
Improvement Activities40
Cost58.49

Other Providers at the Same Location NPPES 17

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

Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Anesthesiology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology (Retina Specialist)
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786

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 Brian Alva's NPI number?

The NPI number for Brian Alva is 1225488612. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Brian Alva located?

Brian Alva practices at 555 N 13th Ave, Upland, CA 91786. The listed phone number is (909) 982-8846.

What is Brian Alva's specialty?

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

Is Brian Alva enrolled in Medicare?

Yes. Brian Alva 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 Brian Alva accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Brian Alva 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 Brian Alva was last updated on May 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.