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DR. JACQUELINE KOO MD
NPI 1528060308
Ophthalmology in San Mateo, CA

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
73.69/100
CMS Quality Rating
101 S SAN MATEO DR, SUITE 310, SAN MATEO, CA 94401(650) 342-7474(650) 342-9260 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Koo Md NPPES

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

DR. JACQUELINE KOO MD (NPI 1528060308) is an individual ophthalmology provider in San Mateo, California, licensed in California (A87738) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1999).

NPPES Registry Identity

NPI1528060308
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. JACQUELINE KOOCredential: MD
Location Address101 S SAN MATEO DR, SUITE 310San Mateo, CA 94401-3819
Mailing Address101 S. San Mateo Dr, Suite 310San Mateo, CA 94401-3844 · (650) 342-7474 · Fax (650) 342-9260
Phone(650) 342-7474
Fax(650) 342-9260
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1999
Enumeration DateAugust 11, 2005
Last NPPES UpdateOctober 24, 2007
✔ NPI 1528060308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A87738
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.
101 S SAN MATEO DR, San Mateo, CA 94401
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN00A877385CA
Medicare UPINH80702CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Jacqueline Koo 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 ID6305818238
PECOS Enrollment IDI20040810001435
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 11

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.
605 services588 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.
431 services416 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.
203 services187 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.
156 services117 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.
96 services96 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).
87 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

73.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost16.48

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.

DR. ALLA SRAGETS M.D.
Obstetrics & Gynecology
101 S SAN MATEO DR, SUITE 112
SAN MATEO, CA 94401
San Mateo County (650) 344-7799
SAN MATEO RHEUMATOLOGY INC.
Internal Medicine (Rheumatology)
101 S SAN MATEO DR, SUITE 307
SAN MATEO, CA 94401
San Mateo County (650) 348-6011
DR. WILLIAM REEVES TATOMER MD
Psychiatry & Neurology (Psychiatry)
101 S SAN MATEO DR, SUITE 300
SAN MATEO, CA 94401
San Mateo County (650) 342-4442
DR. ROMMEL HINDOCHA D.C.
Chiropractor
101 S SAN MATEO DR, SUITE 200
SAN MATEO, CA 94401
San Mateo County (650) 347-2225
DALE JACKNOW
Pediatrics (Developmental - Behavioral Pediatrics)
101 S SAN MATEO DR, SUITE 208
SAN MATEO, CA 94401
San Mateo County (650) 342-3137
DR. CATRINA PATRICIA BLAKE FNP
Nurse Practitioner
101 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 755-6400
DR. DALE JOSEPH RITZO M.D.
Internal Medicine
101 S SAN MATEO DR, SUITE 206
SAN MATEO, CA 94401
San Mateo County (650) 343-4003
AARON KWAN O.D.
Optometrist
101 S SAN MATEO DR, SUITE 310
SAN MATEO, CA 94401
San Mateo County (408) 807-8540

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 Jacqueline Koo's NPI number?

The NPI number for Jacqueline Koo is 1528060308. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Jacqueline Koo located?

Jacqueline Koo practices at 101 S San Mateo Dr Suite 310, San Mateo, CA 94401. The listed phone number is (650) 342-7474.

What is Jacqueline Koo's specialty?

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

Is Jacqueline Koo enrolled in Medicare?

Yes. Jacqueline Koo 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 Jacqueline Koo accept?

Health plans from Providence Health Plan list Jacqueline Koo 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 Jacqueline Koo was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.