DR. SVETLANA PILYUGINA M.D.
NPI 1538294129
Ophthalmology - Retina Specialist in Santa Monica, CA

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
96.4/100
CMS Quality Rating
2222 SANTA MONICA BLVD, SUITE 201, SANTA MONICA, CA 90404(310) 449-9229(310) 586-0180 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Svetlana Pilyugina M.d. NPPES

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

DR. SVETLANA PILYUGINA M.D. (NPI 1538294129) is an individual retina specialist in Santa Monica, California, licensed in California (A89078) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2003).

NPPES Registry Identity

NPI1538294129
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameDR. SVETLANA PILYUGINACredential: M.D.
Location Address2222 SANTA MONICA BLVD, SUITE 201Santa Monica, CA 90404-2304
Mailing Address450 N Roxbury Dr Fl 3Beverly Hills, CA 90210-4238 · (310) 651-2300 · Fax (310) 651-2342
Fax(310) 586-0180
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2003
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
NPI 1538294129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in CA · A89078
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License A89078 (CA)
2222 SANTA MONICA BLVD, Santa Monica, CA 90404

Other Identifiers 1

OtherW2287Medicare Provider Number

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

Dr. Svetlana Pilyugina 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 ID1759480924
PECOS Enrollment IDI20070628000589
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 19

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,180 services27 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.
1,756 services728 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.
1,558 services650 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
847 services199 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
728 services72 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
601 services390 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

96.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.65
Improvement Activities40

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2222 SANTA MONICA BLVD, SUITE 402
SANTA MONICA, CA 90404
Physical Therapist
2222 SANTA MONICA BLVD, SUITE 404
SANTA MONICA, CA 90404
Ophthalmology
2222 SANTA MONICA BLVD, SUITE 107
SANTA MONICA, CA 90404
Psychologist (Clinical)
2222 SANTA MONICA BLVD, SUITE 105
SANTA MONICA, CA 90404
Internal Medicine (Rheumatology)
2222 SANTA MONICA BLVD, SUITE 405
SANTA MONICA, CA 90404
Naturopath
2222 SANTA MONICA BLVD, STE 105
SANTA MONICA, CA 90404
Dentist (General Practice)
2222 SANTA MONICA BLVD, SUITE 202
SANTA MONICA, CA 90404
Clinic/Center (Primary Care)
2222 SANTA MONICA BLVD, SUITE 200
SANTA MONICA, CA 90404

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 Svetlana Pilyugina's NPI number?

The NPI number for Svetlana Pilyugina is 1538294129. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Svetlana Pilyugina located?

Svetlana Pilyugina practices at 2222 Santa Monica Blvd Suite 201, Santa Monica, CA 90404. The listed phone number is (310) 449-9229.

What is Svetlana Pilyugina's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Svetlana Pilyugina enrolled in Medicare?

Yes. Svetlana Pilyugina 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 Svetlana Pilyugina accept?

Health plans from 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 Svetlana Pilyugina 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 Svetlana Pilyugina was last updated on March 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.