MARTHA HENAO MD
NPI 1316358971
Ophthalmology - Retina Specialist in Upland, CA

Active since May 16, 2014PECOS EnrolledAccepts Medicare Assignment
81.53/100
CMS Quality Rating
555 N 13TH AVE, UPLAND, CA 91786(909) 277-2420(909) 206-1097 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2022, Dec 30, 2021, Jun 22, 2020 and 3 more (6 updates tracked since 2017).

About Martha Henao Md NPPES

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

MARTHA HENAO MD (NPI 1316358971) is an individual retina specialist in Upland, California, licensed in California (A139610) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1316358971
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameMARTHA HENAOCredential: MD
Location Address555 N 13TH AVEUpland, CA 91786-4904
Mailing Address555 N 13th AveUpland, CA 91786-4904 · (909) 277-2420 · Fax (909) 206-1097
Fax(909) 206-1097
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateMay 16, 2014
Last NPPES UpdateSeptember 21, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1316358971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in CA · A139610
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License A139610 (CA)
555 N 13TH AVE, Upland, CA 91786

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

Martha Henao 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 ID9638434111
PECOS Enrollment IDI20180604002699
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 13

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
7,620 services28 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.
1,094 services416 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
685 services245 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
664 services81 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
495 services132 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.
164 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

81.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.99
Promoting Interoperability72
Improvement Activities40
Cost58.49

Other Providers at the Same Location NPPES 17

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

Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Anesthesiology
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Ophthalmology
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786
Optometrist
555 N 13TH AVE
UPLAND, CA 91786

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 Martha Henao's NPI number?

The NPI number for Martha Henao is 1316358971. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Martha Henao located?

Martha Henao practices at 555 N 13th Ave, Upland, CA 91786. The listed phone number is (909) 277-2420.

What is Martha Henao's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Martha Henao enrolled in Medicare?

Yes. Martha Henao 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 Martha Henao was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.