AJAY MANCHANDIA MD
NPI 1720243082
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Orange, CA

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment
94.42/100
CMS Quality Rating
1120 W LA VETA AVE STE 100, ORANGE, CA 92868(714) 509-4490 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2019, Feb 25, 2019 (2 updates tracked since 2019).

About Ajay Manchandia Md NPPES

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

AJAY MANCHANDIA MD (NPI 1720243082) is an individual pediatric ophthalmology and strabismus specialist in Orange, California, licensed in California (A120510) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720243082
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameAJAY MANCHANDIACredential: MD
Location Address1120 W LA VETA AVE STE 100Orange, CA 92868-4215
Mailing Address4100 Long Beach Blvd Ste 108Long Beach, CA 90807-2696 · (562) 426-3925 · Fax (562) 595-7639
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 25, 2008
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
✔ NPI 1720243082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in CA · A120510
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License A120510 (CA)
1120 W LA VETA AVE STE 100, Orange, CA 92868

Secondary Practice Location 1

Location 14100 Long Beach Blvd Ste 108Long Beach, CA 90807-2696 · Phone (562) 426-3925 · Fax (562) 595-7639

Other Identifiers 1

Medicaid0A1205100CA

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

Ajay Manchandia Md 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 ID2668635954
PECOS Enrollment IDI20120524000199
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

3

Medicare enrollment records show Ajay Manchandia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1201 W LA VETA AVE
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Of Orange County
  • 190 clinicians in this Medicare group
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Ophthalmology
2925 PALO VERDE AVE
Long Beach, CA 90815
  • Reassigned Medicare billing, California enrollment
  • 21 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

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 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 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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.

94.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.84
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%235 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
78%95 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
87%2,923 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
98%201 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%270 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,468 patients
Patients totalRate: 0% · 1,468 patients
0%1,468 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Optometrist
1120 W LA VETA AVE STE 100
ORANGE, CA 92868

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 Ajay Manchandia's NPI number?

The NPI number for Ajay Manchandia is 1720243082. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Ajay Manchandia located?

Ajay Manchandia practices at 1120 W La Veta Ave Ste 100, Orange, CA 92868. The listed phone number is (714) 509-4490.

What is Ajay Manchandia's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Ajay Manchandia enrolled in Medicare?

Yes. Ajay Manchandia 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 Ajay Manchandia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Manchandia reassigns Medicare benefits to 3 organizations: Children's Hospital Of Orange County (Orange, CA), Southern California Permanente Medical Group (Anaheim, CA) and Eye Physicians Of Long Beach A Medical Group Inc. (Long Beach, 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 Ajay Manchandia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Manchandia accept?

Health plans from Blue Cross Blue Shield of Wyoming list Ajay Manchandia 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 Ajay Manchandia was last updated on December 22, 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.