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VIVIAN PHAN SHIBAYAMA O.D.
NPI 1689954695
Optometrist - Corneal and Contact Management in Los Angeles, CA

Active since August 22, 2011PECOS EnrolledAccepts Medicare Assignment
74.56/100
CMS Quality Rating
200 STEIN PLAZA SUITE 2-525, LOS ANGELES, CA 90095(310) 825-5000 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vivian Phan Shibayama O.d. NPPES

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

VIVIAN PHAN SHIBAYAMA O.D. (NPI 1689954695) is an individual corneal and contact management provider in Los Angeles, California, licensed in California (14290) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689954695
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameVIVIAN PHAN SHIBAYAMACredential: O.D.
Location Address200 STEIN PLAZA SUITE 2-525Los Angeles, CA 90095-7065
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 22, 2011
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1689954695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in CA · 14290
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
200 STEIN PLAZA SUITE 2-525, Los Angeles, CA 90095
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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

Vivian Phan Shibayama O.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 ID8921270190
PECOS Enrollment IDI20111012000126
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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
194 services129 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.
187 services152 patients
Contact lens services for lens covering entire cornea 92313
Contact lens services for the entire cornea involve providing custom-fit lenses that cover the whole cornea. These lenses help correct vision issues and provide comfort. They are carefully selected based on your eye's shape and health. Regular check-ups ensure optimal lens performance.
52 services50 patients
Fitting of contact lens for management of corneal condition 92072
Fitting contact lenses for a corneal condition involves placing a specially designed lens on your eye to improve vision or protect the cornea. This process is tailored to your specific needs and helps manage a variety of corneal conditions, ensuring better eye health and comfort.
21 services21 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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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.

74.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.02
Promoting Interoperability100
Improvement Activities40
Cost30.17

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Scleral cover shell V2627
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier35 claims59 services$1,066.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JULES STEIN EYE INSTITUTE MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
200 STEIN PLAZA SUITE 2-525
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000

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 Vivian Shibayama's NPI number?

The NPI number for Vivian Shibayama is 1689954695. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Vivian Shibayama located?

Vivian Shibayama practices at 200 Stein Plaza Suite 2-525, Los Angeles, CA 90095. The listed phone number is (310) 825-5000.

What is Vivian Shibayama's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Vivian Shibayama enrolled in Medicare?

Yes. Vivian Shibayama 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 Vivian Shibayama was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.