DR. JOHN S MARSHBURN M.D.
NPI 1245246164
Ophthalmology in Placentia, CA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1275 N ROSE DR, SUITE 112, PLACENTIA, CA 92870(714) 792-1199(714) 792-1196 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John S Marshburn M.d. NPPES

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

DR. JOHN S MARSHBURN M.D. (NPI 1245246164) is an individual ophthalmology provider in Placentia, California, licensed in California (A60789) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1993).

NPPES Registry Identity

NPI1245246164
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN S MARSHBURNCredential: M.D.
Location Address1275 N ROSE DR, SUITE 112Placentia, CA 92870-3941
Mailing Address1275 N Rose Dr, Suite 112Placentia, CA 92870-3941 · (714) 792-1199 · Fax (714) 792-1196
Fax(714) 792-1196
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1993
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 28, 2007
NPI 1245246164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A60789
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.
1275 N ROSE DR, Placentia, CA 92870

Other Identifiers 3

OtherA60789CA · State License
Medicare PINA60789CA
Medicare UPINF86321CA

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. John S Marshburn 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 ID5496838773
PECOS Enrollment IDI20080208000561
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 14

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 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.
1,301 services862 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.
1,241 services609 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).
1,137 services550 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.
823 services400 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.
764 services517 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.
616 services295 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92870 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

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
70%458 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%865 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%865 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%865 patients1/55-star benchmark: 59%
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.

Internal Medicine
1275 N ROSE DR, SUITE 120
PLACENTIA, CA 92870
Physician Assistant
1275 N ROSE DR, SUITE 122
PLACENTIA, CA 92870
Internal Medicine (Rheumatology)
1275 N ROSE DR, 110
PLACENTIA, CA 92870
Specialist
1275 N ROSE DR, SUITE 134
PLACENTIA, CA 92870
Internal Medicine (Rheumatology)
1275 N ROSE DR, SUITE 110
PLACENTIA, CA 92870
Clinic/Center
1275 N ROSE DR, STE 126
PLACENTIA, CA 92870
Family Medicine
1275 N ROSE DR, SUITE 124
PLACENTIA, CA 92870
Non-Pharmacy Dispensing Site
1275 N ROSE DR, 126
PLACENTIA, CA 92870

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 John Marshburn's NPI number?

The NPI number for John Marshburn is 1245246164. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is John Marshburn located?

John Marshburn practices at 1275 N Rose Dr Suite 112, Placentia, CA 92870. The listed phone number is (714) 792-1199.

What is John Marshburn's specialty?

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

Is John Marshburn enrolled in Medicare?

Yes. John Marshburn 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.

When was this NPI record last updated?

The NPPES record for John Marshburn was last updated on November 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.