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CESAR AUGUSTO BRICENO MD
NPI 1427235035
Ophthalmology in Philadelphia, PA

Active since January 25, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104(215) 614-4100(215) 615-0527 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2018, Aug 9, 2016 (2 updates tracked since 2016).

About Cesar Augusto Briceno Md NPPES

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

CESAR AUGUSTO BRICENO MD (NPI 1427235035) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458774) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1427235035
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameCESAR AUGUSTO BRICENOCredential: MD
Location Address3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOORPhiladelphia, PA 19104-5127
Mailing Address51 N. 39th StreetPhiladelphia, PA 19104-2640 · (215) 614-4100 · Fax (215) 615-0527
Phone(215) 614-4100
Fax(215) 615-0527
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateJanuary 25, 2008
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1427235035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD458774
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.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Cesar Augusto Briceno 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 ID9234307299
PECOS Enrollment IDI20160913002034
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 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 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.
159 services129 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.
140 services115 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
88 services80 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.
32 services29 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.
28 services28 patients
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440
This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.
16 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Cesar Briceno's NPI number?

The NPI number for Cesar Briceno is 1427235035. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Cesar Briceno located?

Cesar Briceno practices at 3400 Civic Center Blvd West Pavilion, 3rd Floor, Philadelphia, PA 19104. The listed phone number is (215) 614-4100.

What is Cesar Briceno's specialty?

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

Is Cesar Briceno enrolled in Medicare?

Yes. Cesar Briceno 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 Cesar Briceno accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Cesar Briceno 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.

Is Cesar Briceno affiliated with any hospitals?

According to CMS data, Cesar Briceno is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Cesar Briceno was last updated on July 14, 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.