DR. JEAN-PAUL ABBOUD M.D., PH.D.
NPI 1760776728
Ophthalmology in San Diego, CA

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
11199 SORRENTO VALLEY RD STE 202, SAN DIEGO, CA 92121(858) 356-2647 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Sep 1, 2020, Jun 10, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Jean-paul Abboud M.d., Ph.d. NPPES

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

DR. JEAN-PAUL ABBOUD M.D., PH.D. (NPI 1760776728) is an individual ophthalmology provider in San Diego, California, licensed in California (A124875) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Del Mar, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2011).

NPPES Registry Identity

NPI1760776728
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JEAN-PAUL ABBOUDCredential: M.D., PH.D.
Location Address11199 SORRENTO VALLEY RD STE 202San Diego, CA 92121-1334
Mailing Address11199 Sorrento Valley Rd Ste 202San Diego, CA 92121-1334 · (858) 356-2647
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateAugust 21, 20265 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1760776728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A124875
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License A124875 (CA)
11199 SORRENTO VALLEY RD STE 202, San Diego, CA 92121

Secondary Practice Location 1

Location 112845 Pointe Del Mar Way Ste 100Del Mar, CA 92014-3862 · Phone (858) 598-4322

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

Dr. Jean-paul Abboud M.d., Ph.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 ID4486963022
PECOS Enrollment IDI20171205001183
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

6

Medicare enrollment records show Jean-paul Abboud reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
11199 SORRENTO VALLEY RD STE 202
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group
Ophthalmology
15706 POMERADO RD STE 103
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Ophthalmology
838 NORDAHL RD STE 220
San Marcos, CA 92069
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
Ophthalmology
40700 CALIFORNIA OAKS RD, SUITE 106
Murrieta, CA 92562
  • Reassigned Medicare billing, California enrollment
  • 6 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 13

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.
354 services255 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
136 services104 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.
122 services122 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.
77 services71 patients
Probing of nasal tear duct 68840
Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.
65 services47 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost23.27

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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
11199 SORRENTO VALLEY RD STE 202
SAN DIEGO, CA 92121
Otolaryngology (Facial Plastic Surgery)
11199 SORRENTO VALLEY RD STE 202
SAN DIEGO, CA 92121
Ophthalmology
11199 SORRENTO VALLEY RD STE 202
SAN DIEGO, CA 92121

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 Jean-paul Abboud's NPI number?

The NPI number for Jean-paul Abboud is 1760776728. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Jean-paul Abboud located?

Jean-paul Abboud practices at 11199 Sorrento Valley Rd Ste 202, San Diego, CA 92121. The listed phone number is (858) 356-2647.

What is Jean-paul Abboud's specialty?

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

Is Jean-paul Abboud enrolled in Medicare?

Yes. Jean-paul Abboud 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 Jean-paul Abboud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean-paul Abboud reassigns Medicare benefits to 6 organizations: Oculofacial Surgical Arts, PC (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), Rady Children's Hospital San Diego (San Diego, CA), North County Eye Physicians, Inc (Poway, CA), North County Eye Center, Inc. (San Marcos, CA) and 1 more organization, listed in the Medicare section above. 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 Jean-paul Abboud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean-paul Abboud accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Jean-paul Abboud 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 Jean-paul Abboud was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.