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DR. J NICKOLAS BERBOS M.D.
NPI 1467596114
Ophthalmology in Fullerton, CA

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
99.4/100
CMS Quality Rating
1400 N HARBOR BLVD STE 100, FULLERTON, CA 92835(714) 879-0020(714) 526-2020 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. J Nickolas Berbos M.d. NPPES

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

DR. J NICKOLAS BERBOS M.D. (NPI 1467596114) is an individual ophthalmology provider in Fullerton, California, licensed in California (G054630) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1983).

NPPES Registry Identity

NPI1467596114
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. J NICKOLAS BERBOSCredential: M.D.
Location Address1400 N HARBOR BLVD STE 100Fullerton, CA 92835-4107
Mailing Address1400 N Harbor Blvd Ste 100Fullerton, CA 92835-4107 · (714) 879-0020 · Fax (714) 526-2020
Phone(714) 879-0020
Fax(714) 526-2020
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1983
Enumeration DateFebruary 16, 2007
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1467596114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G054630
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.
1400 N HARBOR BLVD STE 100, Fullerton, CA 92835
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G654300CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. J Nickolas Berbos 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 ID941220933
PECOS Enrollment IDI20051206000459
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 9

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 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.
637 services407 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
501 services478 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.
491 services469 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.
114 services112 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.
87 services55 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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.

99.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%131 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,746 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%739 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
98%203 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%203 patients
Provide Patients Electronic Access to Their Health Information
97%479 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 765 patients
Patients totalRate: 0% · 765 patients
0%765 patients5/55-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.

DANIEL WILLIAM LANDA MD
Internal Medicine (Cardiovascular Disease)
1400 N HARBOR BLVD STE 100
FULLERTON, CA 92835
Orange County (714) 578-0533
OMAR KRAD MD, INC
Ophthalmology
1400 N HARBOR BLVD STE 100
FULLERTON, CA 92835
Orange County (949) 309-8148
DR. OMAR KRAD M.D.
Ophthalmology
1400 N HARBOR BLVD STE 100
FULLERTON, CA 92835
Orange County (714) 879-0020

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 J Berbos's NPI number?

The NPI number for J Berbos is 1467596114. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is J Berbos located?

J Berbos practices at 1400 N Harbor Blvd Ste 100, Fullerton, CA 92835. The listed phone number is (714) 879-0020.

What is J Berbos's specialty?

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

Is J Berbos enrolled in Medicare?

Yes. J Berbos 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 J Berbos accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list J Berbos 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 J Berbos was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.