GRACE LYNN SU MD
NPI 1265994933
Ophthalmology in San Jose, CA

Q: What is Grace Su's NPI number?

The NPI number for Grace Su is 1265994933. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Grace Su's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Su was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment

751 S BASCOM AVE, SAN JOSE, CA 95128(253) 202-3711 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Apr 2, 2019 (2 updates tracked since 2019).

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About Grace Lynn Su Md NPPES

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

GRACE LYNN SU MD (NPI 1265994933) is an individual ophthalmology provider in San Jose, California, licensed in California (A185652) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1265994933

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameGRACE LYNN SUCredential: MD

Location Address751 S BASCOM AVESan Jose, CA 95128-2604

Mailing Address4616 Sw 328th PlFederal Way, WA 98023-1925

Phone(253) 202-3711

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2019

Enumeration DateApril 2, 2019

Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration

NPPES CertifiedMay 4, 2023

✔ NPI 1265994933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A185652

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.

751 S BASCOM AVE, San Jose, CA 95128

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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

Grace Lynn Su 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.

PECOS PAC ID4183043052

PECOS Enrollment IDI20230519000916

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 2

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.

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

19 services18 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.

17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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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.

MS. TRANG N NGUYEN PHARM.D

Pharmacist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-2360

DR. ILANA TRAYNIS M.D.

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128

Santa Clara County (408) 885-6300

DR. ABBY KATHERINE SCURFIELD MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

GABRIELLE MINEHAN CCP

Perfusionist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

PRIYA NIGAM MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

CAROLINE DENISON JORDAN

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

MICHAEL NATHANSON MD, PHD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

EAMONN PATRICK DUNPHY MD

Internal Medicine

751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

Santa Clara County (408) 885-4150

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 Grace Su's NPI number?

The NPI number for Grace Su is 1265994933. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Grace Su located?

Grace Su practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (253) 202-3711.

What is Grace Su's specialty?

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

Is Grace Su enrolled in Medicare?

Yes. Grace Su 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 Grace Su was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.