DR. ERFAN JOSEPH NADJI M.D.
NPI 1376876235
Ophthalmology in Santa Monica, CA

Active since September 10, 2009PECOS EnrolledAccepts Medicare Assignment
69.06/100
CMS Quality Rating
1301 20TH STREET, SUITE 260, SANTA MONICA, CA 90404(310) 453-0551(310) 315-0133 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erfan Joseph Nadji M.d. NPPES

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

DR. ERFAN JOSEPH NADJI M.D. (NPI 1376876235) is an individual ophthalmology provider in Santa Monica, California, licensed in California (A129096) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2009).

NPPES Registry Identity

NPI1376876235
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ERFAN JOSEPH NADJICredential: M.D.
Location Address1301 20TH STREET, SUITE 260Santa Monica, CA 90404-2052
Mailing Address1301 20th Street, Suite 260Santa Monica, CA 90404-2052 · (310) 453-0551 · Fax (310) 315-0133
Fax(310) 315-0133
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2009
Enumeration DateSeptember 10, 2009
Last NPPES UpdateJuly 21, 2014
NPI 1376876235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A129096
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.
1301 20TH STREET, Santa Monica, CA 90404

Accepted Insurance

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

Dr. Erfan Joseph Nadji 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 ID7517197635
PECOS Enrollment IDI20140731000717
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 21

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.

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.
2,269 services1,816 patients
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.
1,519 services917 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
1,418 services1,372 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.
650 services646 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.
646 services641 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.
586 services458 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

69.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability74
Improvement Activities40
Cost18.55

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%355 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%35 patients5/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%390 patients
Provide Patients Electronic Access to Their Health Information
44%1,335 patients1/55-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.

Other Providers at the Same Location NPPES 3

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

Allergy & Immunology
1301 20TH STREET, SUITE 220
SANTA MONICA, CA 90404
Surgery (Plastic and Reconstructive Surgery)
1301 20TH STREET, SUITE 470
SANTA MONICA, CA 90404
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1301 20TH STREET, SUITE 400
SANTA MONICA, CA 90404

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 Erfan Nadji's NPI number?

The NPI number for Erfan Nadji is 1376876235. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Erfan Nadji located?

Erfan Nadji practices at 1301 20th Street Suite 260, Santa Monica, CA 90404. The listed phone number is (310) 453-0551.

What is Erfan Nadji's specialty?

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

Is Erfan Nadji enrolled in Medicare?

Yes. Erfan Nadji 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.

What insurance does Erfan Nadji accept?

Health plans from Providence Health Plan list Erfan Nadji 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 Erfan Nadji was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.