KEVIN GARFF
NPI 1609258920
Ophthalmology in San Diego, CA

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Garff NPPES

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

KEVIN GARFF (NPI 1609258920) is an individual ophthalmology provider in San Diego, California, licensed in California (A160988) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of University Of Utah School Of Medicine (2015).

NPPES Registry Identity

NPI1609258920
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN GARFF
Location Address200 W ARBOR DRSan Diego, CA 92103
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateJuly 2, 2019
✔ NPI 1609258920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A160988
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.
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Location 1

Location 1827 Linden AveBaltimore, MD 21201-4606 · Phone (410) 225-8790

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Garff 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 ID4880931252
PECOS Enrollment IDI20190730003528
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Garff reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group
Ophthalmology
340 RANCHEROS DRIVE, SUITES 164/166
San Marcos, CA 92069
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Ophthalmology
340 RANCHEROS DRIVE, SUITES 164/166
San Marcos, CA 92069
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
Ophthalmologic Surgery
2124 S EL CAMINO REAL STE 100
Oceanside, CA 92054
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Ophthalmology
2124 S EL CAMINO REAL STE 100
Oceanside, CA 92054
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: James A Davies MD Inc
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
733 services185 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
618 services297 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.
454 services262 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.
373 services284 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.
360 services224 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.
346 services319 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.87

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Kevin Garff's NPI number?

The NPI number for Kevin Garff is 1609258920. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Kevin Garff located?

Kevin Garff practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Kevin Garff's specialty?

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

Is Kevin Garff enrolled in Medicare?

Yes. Kevin Garff 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.

Which organizations bill Medicare for Kevin Garff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Garff reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (San Diego, CA), Rsf Ophthalmology, PC (San Marcos, CA), Tory Prestera MD Inc. (San Marcos, CA), Foster And Garff Surgical Associates Inc (Oceanside, CA) and James A. Davies, M.D., Inc (Oceanside, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Garff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Garff accept?

Health plans from Providence Health Plan list Kevin Garff 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 Kevin Garff was last updated on July 2, 2019. 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.