MR. AYHAM ROD SKAF M.D. NPI 1285888628
Ophthalmology - Retina Specialist in Chula Vista, CA

About MR. AYHAM ROD SKAF M.D.

Ayham Skaf is a provider established in Chula Vista, California and his medical specialization is Ophthalmology with a focus in retina specialist with more than 17 years of experience. He graduated from Ohio State University College Of Medicine in 2006. The NPI number of this provider is 1285888628 and was assigned on November 2008. The practitioner's primary taxonomy code is 207WX0107X with license number A120584 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1285888628
Provider NameMR. AYHAM ROD SKAF M.D.
Location Address835 3RD AVE STE A CHULA VISTA, CA 91911
Location Phone(619) 425-7755
Mailing Address835 3RD AVE STE A CHULA VISTA, CA 91911
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date11-12-2008
Last Update Date04-05-2017

Ayham Skaf is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ayham Skaf is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.06 for a new patient copayment and $19.8 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207WX0107X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
SpecializationRetina Specialist
License No.A120584
License StateCA
Taxonomy DescriptionAn ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Business Address

835 3RD AVE STE A
CHULA VISTA, CA
ZIP 91911
Phone: (619) 425-7755
Fax: (619) 425-2138

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Mailing Address

835 3RD AVE STE A
CHULA VISTA, CA
ZIP 91911
Phone: (619) 425-7755
Fax: (619) 425-2138


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8123157427
PECOS Enrollment IDI20120718000332
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 91911 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.57 $190.19 $144.27
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.89 $47.54 $36.06
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.39 $156.1 $79.23
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.09 $39.02 $19.8

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 60
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1069Diagnostic imaging of retina (HCPCS:92134)
  • 792Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 693Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 464Photography of the retina (HCPCS:92250)
  • 146Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 53Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 44Measurement of field of vision during daylight conditions (HCPCS:92083)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyA120584CANo

Taxonomy Description: 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.

2207W00000XAllopathic & Osteopathic PhysiciansOphthalmology4301090874MINo

Taxonomy Description: 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.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285888628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651681664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 8 + 1 + 6 + 6 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1285888628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558473652DR. CARMEN LETICIA HERNANDEZ DDS
Individual
Dentist (General Practice)835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 422-0300
1003006834LATINO FAMILY DENTAL
Organization
Dentist (General Practice)835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 422-0300
1366530792DR. ARNETT CARRABY MD
Individual
Ophthalmology835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 425-7755
1568814010SURGERY CENTER OF CALIFORNIA -LLC
Organization
Clinic/Center (Ambulatory Surgical)835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 425-7755
1376723759MR. MAURICIO EDGARDO PONS M.D
Individual
Ophthalmology (Retina Specialist)835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 425-7755
1326491770 ROULA EL-MOGHRABI OD
Individual
Optometrist835 3RD AVE STE A
CHULA VISTA, CA 91911
(619) 425-7755

Frequently Asked Questions

What is Mr. Ayham Skaf M.D. NPI number?

The NPI number assigned to this healthcare provider is 1285888628, registered as an "individual" on November 12, 2008

Where is Mr. Ayham Skaf M.D. located?

The provider is located at 835 3rd Ave Ste A Chula Vista, Ca 91911 and the phone number is (619) 425-7755

Which is Mr. Ayham Skaf M.D. specialty?

The provider's speciality is Ophthalmology with a focus in Retina Specialist

How many years of experience does Mr. Ayham Skaf M.D. have?

The provider has more than 17 years of experience. He graduated from Ohio State University College Of Medicine in 2006.

Is Mr. Ayham Skaf M.D. registered in PECOS?

Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mr. Ayham Skaf M.D.?

Medicare beneficiaries should expect a typical cost of $144.27 with an average copayment of $36.06 for new patient appointments. Established patients should expect a typical charge of $79.23 and an average copayment of 19.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mr. Ayham Skaf M.D.?

The most common procedures or services performed by this practitioner are: Diagnostic imaging of retina, Eye and medical examination for diagnosis and treatment, established patient, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Photography of the retina, Diagnostic imaging of optic nerve of eye, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits and Measurement of field of vision during daylight conditions.

How do I update my NPI information?

The NPI record of Mr. Ayham Skaf M.D. was last updated on November 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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