DR. CLAUDIA SUSANA PINILLA MD
NPI 1598751638
Ophthalmology in Danville, CA

Active since September 23, 2005PECOS Enrolled
75/100
CMS Quality Rating
909 SAN RAMON VALLEY BLVD, STE 114, DANVILLE, CA 94526(925) 837-6428(925) 837-1403 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Claudia Susana Pinilla Md NPPES

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

DR. CLAUDIA SUSANA PINILLA MD (NPI 1598751638) is an individual ophthalmology provider in Danville, California, licensed in California (G60732) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598751638
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. CLAUDIA SUSANA PINILLACredential: MD
Location Address909 SAN RAMON VALLEY BLVD, STE 114Danville, CA 94526-4038
Mailing Address909 San Ramon Valley Blvd, Ste 114Danville, CA 94526-4038 · (925) 837-6428 · Fax (925) 837-1403
Fax(925) 837-1403
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateFebruary 26, 2013
NPI 1598751638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G60732
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.
909 SAN RAMON VALLEY BLVD, Danville, CA 94526

Other Identifiers 2

Medicare UPINE57856CA
Medicare PIN00G607320CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Claudia Susana Pinilla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13

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.
482 services475 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.
264 services171 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.
164 services128 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.
148 services131 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).
147 services143 patients
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.
54 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94526 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.

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

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%47 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 7

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

Ophthalmology
909 SAN RAMON VALLEY BLVD, #114
DANVILLE, CA 94526
Podiatrist
909 SAN RAMON VALLEY BLVD, STE. 118
DANVILLE, CA 94526
Podiatrist
909 SAN RAMON VALLEY BLVD, SUITE #118
DANVILLE, CA 94526
Ophthalmology
909 SAN RAMON VALLEY BLVD, STE 114
DANVILLE, CA 94526
Obstetrics & Gynecology
909 SAN RAMON VALLEY BLVD, SUITE 214
DANVILLE, CA 94526
Ophthalmology
909 SAN RAMON VALLEY BLVD, STE 114
DANVILLE, CA 94526
Optometrist
909 SAN RAMON VALLEY BLVD, SUITE 114
DANVILLE, CA 94526

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 Claudia Pinilla's NPI number?

The NPI number for Claudia Pinilla is 1598751638. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Claudia Pinilla located?

Claudia Pinilla practices at 909 San Ramon Valley Blvd Ste 114, Danville, CA 94526. The listed phone number is (925) 837-6428.

What is Claudia Pinilla's specialty?

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

Is Claudia Pinilla enrolled in Medicare?

Yes. Claudia Pinilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Claudia Pinilla was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.