DR. FRANKLIN W LUSBY JR. MD
NPI 1265526180
Ophthalmology in Lajolla, CA
About Dr. Franklin W Lusby Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FRANKLIN W LUSBY JR. MD (NPI 1265526180) is an individual ophthalmology provider in Lajolla, California, licensed in California (G41830) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Franklin W Lusby Jr. Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Franklin Lusby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 131 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 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Franklin Lusby's NPI number?
The NPI number for Franklin Lusby is 1265526180. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Franklin Lusby located?
Franklin Lusby practices at 9850 Genesee Ave Ste 220, Lajolla, CA 92037. The listed phone number is (858) 459-6200.
What is Franklin Lusby's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Franklin Lusby enrolled in Medicare?
Yes. Franklin Lusby 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.
Which organizations bill Medicare for Franklin Lusby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Franklin Lusby reassigns Medicare benefits to 2 organizations: Thomas S Tooma M D A Professional Corporation (San Diego, CA) and Marshall B. Ketchum University (Anaheim, CA). Each 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 Franklin Lusby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Franklin Lusby accept?
Health plans from Providence Health Plan list Franklin Lusby 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 Franklin Lusby was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Franklin W Lusby Jr., MD · NPI 1265526180
Ophthalmology physician in Lajolla, California. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1265526180 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** G41830 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9850 GENESEE AVE, STE 220, Lajolla, CA 92037
- **Phone:** (858) 459-6200 · **Fax:** (858) 459-2025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thomas S Tooma M D A Professional Corporation (NPI 1215583257, San Diego, CA); Marshall B. Ketchum University (NPI 1174037493, Anaheim, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN A48707; Medicare ID-Type Unspecified G41830C; Medicaid 00G418303 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1265526180) · Data from the CMS NPPES public registry.