DR. DAVID TEMPLE BEVERLY IV M.D.
NPI 1376526491
Ophthalmology in San Diego, CA

Q: What is David Beverly's NPI number?

The NPI number for David Beverly is 1376526491. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is David Beverly'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 David Beverly was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment

34520 BOB WILSON DR, SUITE 202, SAN DIEGO, CA 92134(619) 532-6702 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. David Temple Beverly Iv M.d. NPPES

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

DR. DAVID TEMPLE BEVERLY IV M.D. (NPI 1376526491) is an individual ophthalmology provider in San Diego, California, licensed in California (A69902) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1998).

NPPES Registry Identity

NPI1376526491

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DAVID TEMPLE BEVERLY IVCredential: M.D.

Location Address34520 BOB WILSON DR, SUITE 202San Diego, CA 92134-2098

Mailing Address34520 Bob Wilson Dr, Suite 202San Diego, CA 92134-2098 · (619) 532-6702

Phone(619) 532-6702

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1998

Enumeration DateNovember 22, 2005

Last NPPES UpdateNovember 29, 2021

✔ NPI 1376526491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A69902

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.

34520 BOB WILSON DR, San Diego, CA 92134

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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

Dr. David Temple Beverly Iv M.d. 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 ID7810176641

PECOS Enrollment IDI20110126000668

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 David Beverly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

3.0 mi

Health Maintenance Organization

1288 CAMINO DEL RIO N
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1023425972 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

DR. BEN JAMES BALOUGH MD

Otolaryngology (Otology & Neurotology)

34520 BOB WILSON DR, SUITE 200
SAN DIEGO, CA 92134

San Diego County (619) 532-9604

MARY JANE HALL WILLIS M.D.

Pediatrics

34520 BOB WILSON DR, SUITE 100
SAN DIEGO, CA 92134

San Diego County (619) 532-6896

DR. MICHAEL WILLIAM TERRENZI PHARMD

Pharmacist

34520 BOB WILSON DR, NAVAL MEDICAL CENTER, PHARMACY DEPT. BLDG. 1 FLR. 1
SAN DIEGO, CA 92134

San Diego County (619) 532-6825

DR. ROBERT JOHN OLSSON AU.D.

Audiologist-Hearing Aid Fitter

34520 BOB WILSON DR, ENT DEPT -- BLDG 2, 2ND FLOOR
SAN DIEGO, CA 92134

San Diego County (619) 532-8164

MRS. ALANA SULIT R.N.

Registered Nurse (Obstetric, Inpatient)

34520 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (858) 213-6035

DR. PAULA WITHERSPOON M.D.

Pediatrics

34520 BOB WILSON DR, DEPARTMENT OF PEDIATRICS
SAN DIEGO, CA 92134

San Diego County (619) 532-7070

DR. DANIEL FRANCIS MAHER MD

Internal Medicine

34520 BOB WILSON DR, SUITE 302
SAN DIEGO, CA 92134

San Diego County (619) 532-6827

MRS. DANIELLE ANNE TAYSOM M.D.

Radiology (Diagnostic Radiology)

34520 BOB WILSON DR, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134

San Diego County (619) 532-6400

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 David Beverly's NPI number?

The NPI number for David Beverly is 1376526491. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is David Beverly located?

David Beverly practices at 34520 Bob Wilson Dr Suite 202, San Diego, CA 92134. The listed phone number is (619) 532-6702.

What is David Beverly's specialty?

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

Is David Beverly enrolled in Medicare?

Yes. David Beverly 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 David Beverly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Beverly reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 David Beverly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Beverly was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.