PAUL NEFEDOV
NPI 1487017075
Optometrist in Longview, WA

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
600 TRIANGLE CTR STE 400, LONGVIEW, WA 98632(360) 423-0220(360) 423-0697 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2022, Aug 30, 2017, Mar 31, 2016 (3 updates tracked since 2016).

About Paul Nefedov NPPES

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

PAUL NEFEDOV (NPI 1487017075) is an individual optometrist in Longview, Washington, licensed in Oregon (ATI4325) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487017075
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL NEFEDOV
Location Address600 TRIANGLE CTR STE 400Longview, WA 98632-4667
Mailing Address600 Triangle Ctr Ste 400Longview, WA 98632-4667 · (360) 423-0220 · Fax (360) 423-0697
Fax(360) 423-0697
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2017
Enumeration DateMarch 31, 2016
Last NPPES UpdateJune 17, 20223 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
NPI 1487017075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · ATI4325 Licensed in CA · 33688 Licensed in WA · OD60997195
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

600 TRIANGLE CTR STE 400, Longview, WA 98632

Secondary Practice Locations 2

Location 1600 Triangle Ctr, suite 400Longivew, WA 98632-4667 · Phone (360) 423-0220 · Fax (360) 423-0697
Location 22375 NE Highway 99WMcMinnville, OR 97128-9201 · Phone (503) 434-1183

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

Paul Nefedov 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 ID5496027450
PECOS Enrollment IDI20200820002081, I20220509000413
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
383 services377 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.
281 services195 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.
238 services197 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.
180 services180 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.
145 services122 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).
143 services116 patients

Hospital Affiliations CMS Care Compare

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

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR
OwnershipProprietary
CMS Certification Number381320
Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487017075, enumerated as an "individual" on March 31, 2016.

The provider is located at 600 TRIANGLE CTR STE 400 LONGVIEW, WA 98632 and the phone number is (360) 423-0220.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.

Paul Nefedov is affiliated with: COLUMBIA MEMORIAL HOSPITAL.