KOUROSH DASTGHEIB MD
NPI 1578523593
Ophthalmology in Garden Grove, CA

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12665 GARDEN GROVE BLVD STE 301, GARDEN GROVE, CA 92843(909) 581-6732(909) 581-6737 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kourosh Dastgheib Md NPPES

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

KOUROSH DASTGHEIB MD (NPI 1578523593) is an individual ophthalmology provider in Garden Grove, California, licensed in California (A85637) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1578523593
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKOUROSH DASTGHEIBCredential: MD
Location Address12665 GARDEN GROVE BLVD STE 301Garden Grove, CA 92843-1917
Mailing Address12665 Garden Grove Blvd Ste 301Garden Grove, CA 92843-1917 · (714) 636-6282 · Fax (714) 422-0960
Fax(909) 581-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 24, 2006
Last NPPES UpdateDecember 4, 2018
NPI 1578523593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A85637
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.
12665 GARDEN GROVE BLVD STE 301, Garden Grove, CA 92843

Other Identifiers 2

Medicaid100967496PA
Other04531539Ecfmg

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

Kourosh Dastgheib 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 ID6305827775
PECOS Enrollment IDI20070522000477
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 26

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
580 services88 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.
529 services312 patients
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.
404 services236 patients
Destruction of growth of retina using a laser 67210
This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
337 services85 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
157 services111 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
146 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92843 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

Family Medicine
12665 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA 92843

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 Kourosh Dastgheib's NPI number?

The NPI number for Kourosh Dastgheib is 1578523593. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Kourosh Dastgheib located?

Kourosh Dastgheib practices at 12665 Garden Grove Blvd Ste 301, Garden Grove, CA 92843. The listed phone number is (909) 581-6732.

What is Kourosh Dastgheib's specialty?

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

Is Kourosh Dastgheib enrolled in Medicare?

Yes. Kourosh Dastgheib 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 Kourosh Dastgheib was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.