DR. JEFFREY PHILLIP WASSERSTROM M.D.
NPI 1710922687
Ophthalmology in La Mesa, CA

Active since June 17, 2006PECOS Enrolled
75/100
CMS Quality Rating
5565 GROSSMONT CENTER DR, BLDG. 3 SUITE 551, LA MESA, CA 91942(619) 698-1088(619) 698-1189 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Phillip Wasserstrom M.d. NPPES

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

DR. JEFFREY PHILLIP WASSERSTROM M.D. (NPI 1710922687) is an individual ophthalmology provider in La Mesa, California, licensed in California (G54813) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710922687
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JEFFREY PHILLIP WASSERSTROMCredential: M.D.
Location Address5565 GROSSMONT CENTER DR, BLDG. 3 SUITE 551La Mesa, CA 91942-3020
Mailing Address5565 Grossmont Center Dr, Bldg. 3 Suite 551La Mesa, CA 91942-3020 · (619) 698-1088 · Fax (619) 698-1189
Fax(619) 698-1189
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateFebruary 6, 2014
NPI 1710922687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G54813
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.
5565 GROSSMONT CENTER DR, La Mesa, CA 91942

Other Identifiers 4

Medicare UPINA52799CA
Medicaid00G548130CA
Medicare PING54813CA
Medicare NSC4286890001CA

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. Jeffrey Phillip Wasserstrom M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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.

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

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.

Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
Dentist (General Practice)
5565 GROSSMONT CENTER DR, SUITE 356
LA MESA, CA 91942
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942

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 Jeffrey Wasserstrom's NPI number?

The NPI number for Jeffrey Wasserstrom is 1710922687. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Jeffrey Wasserstrom located?

Jeffrey Wasserstrom practices at 5565 Grossmont Center Dr Bldg. 3 Suite 551, La Mesa, CA 91942. The listed phone number is (619) 698-1088.

What is Jeffrey Wasserstrom's specialty?

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

Is Jeffrey Wasserstrom enrolled in Medicare?

Yes. Jeffrey Wasserstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Wasserstrom was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.