PHILIP PENROSE M.D.
NPI 1245288547
Ophthalmology in Monterey, CA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
75.19/100
CMS Quality Rating
21 UPPER RAGSDALE DR, #200, MONTEREY, CA 93940(831) 372-1500(831) 655-6493 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Philip Penrose M.d. NPPES

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

PHILIP PENROSE M.D. (NPI 1245288547) is an individual ophthalmology provider in Monterey, California, licensed in California (A78833) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2006).

NPPES Registry Identity

NPI1245288547
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePHILIP PENROSECredential: M.D.
Location Address21 UPPER RAGSDALE DR, #200Monterey, CA 93940-7829
Mailing Address21 Upper Ragsdale Dr Ste 201Monterey, CA 93940-7860 · (831) 324-4730 · Fax (831) 886-3366
Fax(831) 655-6493
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2006
Enumeration DateMay 5, 2006
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
NPI 1245288547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A78833
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.
21 UPPER RAGSDALE DR, Monterey, CA 93940

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

Philip Penrose 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 ID8224071071
PECOS Enrollment IDI20050602001175
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 27

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.
1,271 services1,258 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
1,160 services59 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.
879 services811 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.
613 services366 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
467 services303 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
399 services288 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

75.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.56
Improvement Activities40
Cost17.87

Other Providers at the Same Location NPPES 15

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

Physical Therapist
21 UPPER RAGSDALE DR, SUITE #125
MONTEREY, CA 93940
Physical Therapist (Orthopedic)
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Physical Therapist
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Eyewear Supplier
21 UPPER RAGSDALE DR, 200
MONTEREY, CA 93940
Dentist (General Practice)
21 UPPER RAGSDALE DR, SUITE 170
MONTEREY, CA 93940
Orthopaedic Surgery (Sports Medicine)
21 UPPER RAGSDALE DR, SUITE 100
MONTEREY, CA 93940
Physical Therapist (Orthopedic)
21 UPPER RAGSDALE DR
MONTEREY, CA 93940
Ophthalmology
21 UPPER RAGSDALE DR, 200
MONTEREY, CA 93940

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 Philip Penrose's NPI number?

The NPI number for Philip Penrose is 1245288547. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Philip Penrose located?

Philip Penrose practices at 21 Upper Ragsdale Dr #200, Monterey, CA 93940. The listed phone number is (831) 372-1500.

What is Philip Penrose's specialty?

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

Is Philip Penrose enrolled in Medicare?

Yes. Philip Penrose 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 Philip Penrose accept?

Health plans from Providence Health Plan list Philip Penrose 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 Philip Penrose was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.