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DR. BARRY SUSSMAN M.D.
NPI 1508036880
Ophthalmology in Corona Del Mar, CA

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
1315 BONNIE DOONE TER, CORONA DEL MAR, CA 92625(973) 632-1652(973) 632-1652 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Barry Sussman M.d. NPPES

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

DR. BARRY SUSSMAN M.D. (NPI 1508036880) is an individual ophthalmology provider in Corona Del Mar, California, licensed in California (G-037064) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1977).

NPPES Registry Identity

NPI1508036880
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BARRY SUSSMANCredential: M.D.
Location Address1315 BONNIE DOONE TERCorona Del Mar, CA 92625-1716
Mailing Address1315 Bonnie Doone TerCorona Del Mar, CA 92625-1716 · (949) 759-1956
Phone(973) 632-1652
Fax(973) 632-1652
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1977
Enumeration DateMarch 3, 2008
Last NPPES UpdateMay 13, 2009
✔ NPI 1508036880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G-037064
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.
1315 BONNIE DOONE TER, Corona Del Mar, CA 92625
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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. Barry Sussman 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 ID345319638
PECOS Enrollment IDI20080512000765
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 2

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.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
21 services14 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92625 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.

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 Barry Sussman's NPI number?

The NPI number for Barry Sussman is 1508036880. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Barry Sussman located?

Barry Sussman practices at 1315 Bonnie Doone Ter, Corona Del Mar, CA 92625. The listed phone number is (973) 632-1652.

What is Barry Sussman's specialty?

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

Is Barry Sussman enrolled in Medicare?

Yes. Barry Sussman 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 Barry Sussman was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.