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KAREN TOKI WAKAYAMA OD
NPI 1295775047
Optometrist in Tustin, CA

Active since June 08, 2006PECOS Enrolled
92.8/100
CMS Quality Rating
17300 17TH ST STE M, TUSTIN, CA 92780(714) 838-9664(714) 838-6774 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2020, Sep 5, 2020, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Karen Toki Wakayama Od NPPES

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

KAREN TOKI WAKAYAMA OD (NPI 1295775047) is an individual optometrist in Tustin, California, licensed in California (8038T) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Forest, and is a graduate of Southern California College Of Optometry (1984).

NPPES Registry Identity

NPI1295775047
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAREN TOKI WAKAYAMACredential: OD
Location Address17300 17TH ST STE MTustin, CA 92780-1955
Mailing Address17300 17th St Ste MTustin, CA 92780-1955 · (714) 838-9664 · Fax (714) 838-6774
Phone(714) 838-9664
Fax(714) 838-6774
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1984
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1295775047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 8038T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17300 17TH ST STE M, Tustin, CA 92780
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Other Names 1

Professional Name (2)Dr. Karen K. Toki O.d.

Secondary Practice Location 1

Location 123002 Lake Center DrLake Forest, CA 92630-6801 · Phone (949) 454-1064 · Fax (949) 454-4111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Toki Wakayama Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214928787
PECOS Enrollment IDI20040521001385
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

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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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.

92.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost76.01

Other Providers at the Same Location NPPES

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

DR. CYNTHIA BROADY O.D.
Optometrist
17300 17TH ST STE M
TUSTIN, CA 92780
Orange County (714) 838-9664

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 Karen Wakayama's NPI number?

The NPI number for Karen Wakayama is 1295775047. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Dr. Karen K. Toki O.D..

Where is Karen Wakayama located?

Karen Wakayama practices at 17300 17th St Ste M, Tustin, CA 92780. The listed phone number is (714) 838-9664.

What is Karen Wakayama's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karen Wakayama enrolled in Medicare?

Yes. Karen Wakayama is registered in the Medicare PECOS enrollment system.

What insurance does Karen Wakayama 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 Karen Wakayama 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 Karen Wakayama was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.