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NATHAN PIRAKITIKULR MD, PHD
NPI 1700316817
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Solana Beach, CA

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
74.56/100
CMS Quality Rating
531 N HIGHWAY 101, SOLANA BEACH, CA 92075(858) 529-9973 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2023, Jun 11, 2021, Feb 10, 2021 and 2 more (5 updates tracked since 2017).

About Nathan Pirakitikulr Md, Phd NPPES

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

NATHAN PIRAKITIKULR MD, PHD (NPI 1700316817) is an individual ophthalmic plastic and reconstructive surgery provider in Solana Beach, California, licensed in California (A171565) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Yale University School Of Medicine (2017).

NPPES Registry Identity

NPI1700316817
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameNATHAN PIRAKITIKULRCredential: MD, PHD
Location Address531 N HIGHWAY 101Solana Beach, CA 92075-1132
Mailing Address531 N Highway 101Solana Beach, CA 92075-1132 · (858) 529-9973
Phone(858) 529-9973
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateDecember 7, 20235 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1700316817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in CA · A171565
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License A171565 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
531 N HIGHWAY 101, Solana Beach, CA 92075
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (800) 329-7000
Location 2680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7210
Location 3100 Stein PlzLos Angeles, CA 90095-3308 · Phone (310) 825-3090
Location 4625 S Fair Oaks Ave Ste 280Pasadena, CA 91105-2670 · Phone (626) 817-4747

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

Nathan Pirakitikulr Md, Phd 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 ID4082985015
PECOS Enrollment IDI20210528001223
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 Nathan Pirakitikulr reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cloe
Same address
Ophthalmic Plastic and Reconstructive Surgery
531 N HIGHWAY 101
Solana Beach, CA 92075
  • Reassigned Medicare billing, California enrollment
NPI 1518642362 (858) 500-5851
North County Eye Physicians, Inc
13 mi
Ophthalmology
15706 POMERADO RD STE 103
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1639437536 (858) 451-8600
North County Eye Center, Inc.
13 mi
Ophthalmology
838 NORDAHL RD STE 220
San Marcos, CA 92069
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
NPI 1184797169 (760) 738-9985
Foster And Garff Surgical Associates Inc
13 mi
Ophthalmologic Surgery
2124 S EL CAMINO REAL STE 100
Oceanside, CA 92054
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1700664844 (760) 729-7101
Emergency And Acute Care Medical Corporation
15 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

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 9

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
226 services130 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
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.
46 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
38 services31 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.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92075 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.

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

Other Providers at the Same Location NPPES

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

CLOE
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
531 N HIGHWAY 101
SOLANA BEACH, CA 92075
San Diego County (858) 500-5851

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 Nathan Pirakitikulr's NPI number?

The NPI number for Nathan Pirakitikulr is 1700316817. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Nathan Pirakitikulr located?

Nathan Pirakitikulr practices at 531 N Highway 101, Solana Beach, CA 92075. The listed phone number is (858) 529-9973.

What is Nathan Pirakitikulr's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Nathan Pirakitikulr enrolled in Medicare?

Yes. Nathan Pirakitikulr 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 Nathan Pirakitikulr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Pirakitikulr reassigns Medicare benefits to 5 organizations: Cloe (Solana Beach, CA), North County Eye Physicians, Inc (Poway, CA), North County Eye Center, Inc. (San Marcos, CA), Foster And Garff Surgical Associates Inc (Oceanside, CA) and Emergency And Acute Care Medical Corporation (San Diego, 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 Nathan Pirakitikulr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Pirakitikulr was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.