ELISE LEE MA MD, PHD
NPI 1417510108
Ophthalmology in Los Angeles, CA

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
200 STEIN PLAZA, LOS ANGELES, CA 90095(310) 267-3937(310) 206-7826 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Apr 17, 2019 (2 updates tracked since 2019).

About Elise Lee Ma Md, Phd NPPES

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

ELISE LEE MA MD, PHD (NPI 1417510108) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A196238) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2019).

NPPES Registry Identity

NPI1417510108
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameELISE LEE MACredential: MD, PHD
Location Address200 STEIN PLAZALos Angeles, CA 90095-4606
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 206-7826
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1417510108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A196238
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.
200 STEIN PLAZA, Los Angeles, CA 90095

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

Elise Lee Ma Md, Phd 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 ID5890213771
PECOS Enrollment IDI20250514002664
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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.

Other Providers at the Same Location NPPES 19

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

Optometrist
200 STEIN PLAZA, RM 1-340
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA, 1-340
LOS ANGELES, CA 90095
Ophthalmology (Retina Specialist)
200 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA
LOS ANGELES, CA 90095

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 Elise Ma's NPI number?

The NPI number for Elise Ma is 1417510108. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Elise Ma located?

Elise Ma practices at 200 Stein Plaza, Los Angeles, CA 90095. The listed phone number is (310) 267-3937.

What is Elise Ma's specialty?

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

Is Elise Ma enrolled in Medicare?

Yes. Elise Ma 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 Elise Ma was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.