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VANESSA JEAN EWING O.D.
NPI 1780874453
Optometrist in San Luis Obispo, CA

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
3855 BROAD ST., SUITE B, SAN LUIS OBISPO, CA 93401(805) 545-8100(805) 548-8785 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2019, Jan 10, 2019 (2 updates tracked since 2019).

About Vanessa Jean Ewing O.d. NPPES

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

VANESSA JEAN EWING O.D. (NPI 1780874453) is an individual optometrist in San Luis Obispo, California, licensed in California (OPT33920TLG) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780874453
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameVANESSA JEAN EWINGCredential: O.D.
Location Address3855 BROAD ST., SUITE BSan Luis Obispo, CA 93401-7109
Mailing Address3855 Broad St Ste BSan Luis Obispo, CA 93401-7109 · (805) 545-8100 · Fax (805) 548-8785
Phone(805) 545-8100
Fax(805) 548-8785
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 30, 2007
Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration
✔ NPI 1780874453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · OPT33920TLG✔ Licensed in IN · 18003453A
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.
3855 BROAD ST., SUITE B, San Luis Obispo, CA 93401
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Other Identifiers 2

Medicaid7100100450KY
Medicaid200908990IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vanessa Jean Ewing O.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 ID9234290636
PECOS Enrollment IDI20141009002602
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 11

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.
522 services521 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.
267 services203 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
139 services128 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).
108 services105 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
101 services93 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
59 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.68
Improvement Activities40
Cost91.47

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%76 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.

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 Vanessa Ewing's NPI number?

The NPI number for Vanessa Ewing is 1780874453. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Vanessa Ewing located?

Vanessa Ewing practices at 3855 Broad St., Suite B, San Luis Obispo, CA 93401. The listed phone number is (805) 545-8100.

What is Vanessa Ewing's specialty?

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

Is Vanessa Ewing enrolled in Medicare?

Yes. Vanessa Ewing 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.

What insurance does Vanessa Ewing accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Vanessa Ewing 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.

Is Vanessa Ewing affiliated with any hospitals?

According to CMS data, Vanessa Ewing is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vanessa Ewing was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.