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GARRETT PENNELL OD
NPI 1710415823
Optometrist in La Jolla, CA

Active since June 02, 2017PECOS Enrolled
87.38/100
CMS Quality Rating
4130 LA JOLLA VILLAGE DR STE 300, LA JOLLA, CA 92037(858) 455-6800 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garrett Pennell Od NPPES

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

GARRETT PENNELL OD (NPI 1710415823) is an individual optometrist in La Jolla, California, licensed in California (34482) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710415823
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGARRETT PENNELLCredential: OD
Location Address4130 LA JOLLA VILLAGE DR STE 300La Jolla, CA 92037-1481
Mailing Address4130 La Jolla Village Dr Ste 300La Jolla, CA 92037-1481 · (858) 455-6800
Phone(858) 455-6800
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedFebruary 17, 2021
✔ NPI 1710415823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34482
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4130 LA JOLLA VILLAGE DR STE 300, La Jolla, CA 92037
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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 (PECOS)

Garrett Pennell Od 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 3

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
112 services70 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.
21 services17 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).
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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.

87.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.6
Improvement Activities40
Cost58.47

Other Providers at the Same Location NPPES 3

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

DR. RAKHI AMMAR MD
Ophthalmology (Cornea and External Diseases Specialist)
4130 LA JOLLA VILLAGE DR STE 300
LA JOLLA, CA 92037
San Diego County (858) 455-6800
NEW VISION OFFICE SURGERY LLC
Clinic/Center (Ambulatory Surgical)
4130 LA JOLLA VILLAGE DR STE 300
LA JOLLA, CA 92037
San Diego County (858) 455-6800
SAN DIEGO CENTER FOR SPINAL DISORDERS MEDICAL GROUP, INC.
Specialist
4130 LA JOLLA VILLAGE DR STE 300
LA JOLLA, CA 92037
San Diego County (858) 678-0610

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 Garrett Pennell's NPI number?

The NPI number for Garrett Pennell is 1710415823. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Garrett Pennell located?

Garrett Pennell practices at 4130 La Jolla Village Dr Ste 300, La Jolla, CA 92037. The listed phone number is (858) 455-6800.

What is Garrett Pennell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Garrett Pennell enrolled in Medicare?

Yes. Garrett Pennell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Garrett Pennell was last updated on January 10, 2024. 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.