DR. EVERETT AI MD
NPI 1235130618
Ophthalmology in San Francisco, CA

Active since August 09, 2005PECOS Enrolled
2100 WEBSTER ST 214, SAN FRANCISCO, CA 94115(415) 923-3007(415) 923-6586 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Everett Ai Md NPPES

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

DR. EVERETT AI MD (NPI 1235130618) is an individual ophthalmology provider in San Francisco, California, licensed in California (G38984) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235130618
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EVERETT AICredential: MD
Location Address2100 WEBSTER ST 214San Francisco, CA 94115-2375
Mailing Address2100 Webster St 214San Francisco, CA 94115-2375 · (415) 923-3007 · Fax (415) 923-6586
Fax(415) 923-6586
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 17, 2015
✔ NPI 1235130618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G38984
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.
2100 WEBSTER ST 214, San Francisco, CA 94115

Other Identifiers 2

Medicare PIN00G389840CA
Medicare UPINA47659CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Everett Ai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Everett Ai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
6880 PALM AVE
Sebastopol, CA 95472
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Everett Ai's NPI number?

The NPI number for Everett Ai is 1235130618. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Everett Ai located?

Everett Ai practices at 2100 Webster St 214, San Francisco, CA 94115. The listed phone number is (415) 923-3007.

What is Everett Ai's specialty?

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

Is Everett Ai enrolled in Medicare?

Yes. Everett Ai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Everett Ai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Everett Ai reassigns Medicare benefits to Eye Associates Of Sebastopol Medical Group Inc (Sebastopol, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Everett Ai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Everett Ai was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.