DR. PAUL KUN ROW M.D.
NPI 1548345580
Ophthalmology in Napa, CA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
82.92/100
CMS Quality Rating
895 TRANCAS ST, NAPA, CA 94558(707) 252-2020 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Kun Row M.d. NPPES

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

DR. PAUL KUN ROW M.D. (NPI 1548345580) is an individual ophthalmology provider in Napa, California, licensed in California (A74103) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1999).

NPPES Registry Identity

NPI1548345580
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL KUN ROWCredential: M.D.
Location Address895 TRANCAS STNapa, CA 94558-3040
Mailing Address895 Trancas StNapa, CA 94558-3040 · (707) 252-2020
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1999
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 21, 2011
NPI 1548345580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A74103
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.
895 TRANCAS ST, Napa, CA 94558

Other Identifiers 6

Medicaid2326236CA
OtherP00136172CA · Medicare - Railroad
Medicare UPINH84821CA
Medicare PIN00A741030CA
Other7467460CA · Aetna
Medicare PINP00136172CA

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. Paul Kun Row 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 ID4981698164
PECOS Enrollment IDI20040412000552
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 21

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 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.
1,224 services572 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.
646 services426 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.
442 services368 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.
387 services298 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).
363 services280 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.
269 services192 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94558 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
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
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.

82.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost36.61

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%257 patients
Diabetes: Eye Exam
100%254 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%712 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%63 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%326 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,537 patients
Patients totalRate: 0% · 1,537 patients
0%1,537 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Otolaryngology
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558
Ophthalmology
895 TRANCAS ST
NAPA, CA 94558
Ophthalmology
895 TRANCAS ST
NAPA, CA 94558
Dentist
895 TRANCAS ST
NAPA, CA 94558
Optometrist
895 TRANCAS ST
NAPA, CA 94558

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 Paul Row's NPI number?

The NPI number for Paul Row is 1548345580. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Paul Row located?

Paul Row practices at 895 Trancas St, Napa, CA 94558. The listed phone number is (707) 252-2020.

What is Paul Row's specialty?

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

Is Paul Row enrolled in Medicare?

Yes. Paul Row 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 Paul Row accept?

Health plans from Providence Health Plan list Paul Row 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 Paul Row was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.