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LEE S BERMAN OD
NPI 1295899177
Optometrist in Garden Grove, CA

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
11642 KNOTT ST STE 15, GARDEN GROVE, CA 92841(714) 903-7767(714) 903-7801 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lee S Berman Od NPPES

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

LEE S BERMAN OD (NPI 1295899177) is an individual optometrist in Garden Grove, California, licensed in California (CA5638T) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1974).

NPPES Registry Identity

NPI1295899177
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEE S BERMANCredential: OD
Location Address11642 KNOTT ST STE 15Garden Grove, CA 92841-1820
Mailing Address1365 Divinity DrPrescott, AZ 86301-7406 · (949) 933-7301
Phone(714) 903-7767
Fax(714) 903-7801
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1974
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 23, 2015
✔ NPI 1295899177 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 · CA5638T
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.
11642 KNOTT ST STE 15, Garden Grove, CA 92841
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Other Identifiers 2

Medicare UPINT10063CA
Medicare PINOP5638ACA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Lee S Berman Od 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 ID9133316227
PECOS Enrollment IDI20140801000860
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.

Medicare Billing Reassignment

Medicare enrollment records show Lee Berman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwestern Eye Center Ltd
209 mi
Ambulatory Surgical
2149 W 24TH ST
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 212 clinicians in this Medicare group
NPI 1417985102 (928) 726-4120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
100 services80 patients
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.
66 services61 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
50 services48 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
49 services43 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services22 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92841 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%31 patients4/55-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 Lee Berman's NPI number?

The NPI number for Lee Berman is 1295899177. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Lee Berman located?

Lee Berman practices at 11642 Knott St Ste 15, Garden Grove, CA 92841. The listed phone number is (714) 903-7767.

What is Lee Berman's specialty?

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

Is Lee Berman enrolled in Medicare?

Yes. Lee Berman 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 organization bills Medicare for Lee Berman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Berman reassigns Medicare benefits to Southwestern Eye Center Ltd (Yuma, AZ). The 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 Lee Berman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Berman accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Lee Berman 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 Lee Berman was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.