DR. RAMIN TAYANI M.D.
NPI 1265528970
Ophthalmology in San Clemente, CA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
64.25/100
CMS Quality Rating
653 CAMINO DE LOS MARES, STE 107, SAN CLEMENTE, CA 92673(949) 489-2218(949) 496-3604 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ramin Tayani M.d. NPPES

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

DR. RAMIN TAYANI M.D. (NPI 1265528970) is an individual ophthalmology provider in San Clemente, California, licensed in California (A69679) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1994).

NPPES Registry Identity

NPI1265528970
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RAMIN TAYANICredential: M.D.
Location Address653 CAMINO DE LOS MARES, STE 107San Clemente, CA 92673
Mailing Address653 Camino De Los Mares, Ste 107San Clemente, CA 92673 · (949) 489-2218 · Fax (949) 496-3604
Fax(949) 496-3604
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1994
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 31, 2012
NPI 1265528970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A69679
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.
653 CAMINO DE LOS MARES, STE 107, San Clemente, CA 92673

Other Identifiers 6

Other00A696790CA · Blue Shield Provider #
Medicare ID-Type Unspecified00A696790CA · Northern Medicare
Other330908874CA · Tax Id#
Medicare UPINH08912CA
Medicaid00A696791CA
Medicare ID-Type UnspecifiedA69679CA · Southern Medicare

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

Dr. Ramin Tayani 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 ID8921016577
PECOS Enrollment IDI20081204000836
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 21

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.
318 services298 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.
187 services158 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.
133 services133 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
122 services101 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.
110 services108 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
103 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 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.

64.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.86
Promoting Interoperability53
Improvement Activities40
Cost47.01

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
39%23 patients1/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
0%187 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
98%160 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
97%2,579 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%140 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
83%1,853 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 8,063 patients
Patients screened: 87% · 8,063 patients
15%274 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
77%2,546 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
10%68 patients
Provide Patients Electronic Access to Their Health Information
43%17,728 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 9,630 patients
Patients totalRate: 0% · 9,630 patients
0%9,630 patients5/55-star benchmark: 100%
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.

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 Ramin Tayani's NPI number?

The NPI number for Ramin Tayani is 1265528970. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ramin Tayani located?

Ramin Tayani practices at 653 Camino De Los Mares, Ste 107, San Clemente, CA 92673. The listed phone number is (949) 489-2218.

What is Ramin Tayani's specialty?

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

Is Ramin Tayani enrolled in Medicare?

Yes. Ramin Tayani 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 Ramin Tayani accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Ramin Tayani 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 Ramin Tayani was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.