PATRICIA BAINTER MD
NPI 1487737847
Ophthalmology in La Jolla, CA

Active since October 21, 2006PECOS EnrolledAccepts Medicare Assignment
8950 VILLA LA JOLLA DR STE C130, LA JOLLA, CA 92037(858) 788-2820(858) 788-2822 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2022, Aug 14, 2021 (2 updates tracked since 2021).

About Patricia Bainter Md NPPES

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

PATRICIA BAINTER MD (NPI 1487737847) is an individual ophthalmology provider in La Jolla, California, licensed in California (G86883) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1992).

NPPES Registry Identity

NPI1487737847
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePATRICIA BAINTERCredential: MD
Location Address8950 VILLA LA JOLLA DR STE C130La Jolla, CA 92037-1707
Mailing Address8950 Villa La Jolla Dr Ste C130La Jolla, CA 92037-1707
Fax(858) 788-2822
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1992
Enumeration DateOctober 21, 2006
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1487737847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G86883
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.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License G86883 (CA)
8950 VILLA LA JOLLA DR STE C130, La Jolla, CA 92037

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Bainter 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 ID6709876428
PECOS Enrollment IDI20040514000823
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Patricia Bainter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
8950 VILLA LA JOLLA DR STE C130
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Ophthalmology
3737 MORAGA AVE, SUITE A105
San Diego, CA 92117
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
47 services47 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.
46 services39 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.
45 services25 patients
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.
39 services38 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).
36 services36 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

Clinic/Center (Health Service)
8950 VILLA LA JOLLA DR STE C130
LA JOLLA, CA 92037
Ophthalmology
8950 VILLA LA JOLLA DR STE C130
LA JOLLA, CA 92037

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 Patricia Bainter's NPI number?

The NPI number for Patricia Bainter is 1487737847. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Patricia Bainter located?

Patricia Bainter practices at 8950 Villa La Jolla Dr Ste C130, La Jolla, CA 92037. The listed phone number is (858) 788-2820.

What is Patricia Bainter's specialty?

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

Is Patricia Bainter enrolled in Medicare?

Yes. Patricia Bainter 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.

Which organizations bill Medicare for Patricia Bainter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Bainter reassigns Medicare benefits to 2 organizations: Torrey Pines Eye Care (La Jolla, CA) and Sanford G Feldman MD Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Bainter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Bainter accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Patricia Bainter 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 Patricia Bainter was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.