DR. KAPIL MISHRA MD
NPI 1790149896
Ophthalmology - Retina Specialist in Irvine, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
850 HEALTH SCIENCES RD, IRVINE, CA 92617(949) 824-2020 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, May 13, 2022, Jul 14, 2020 (3 updates tracked since 2020).

About Dr. Kapil Mishra Md NPPES

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

DR. KAPIL MISHRA MD (NPI 1790149896) is an individual retina specialist in Irvine, California, licensed in California (A168327) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790149896
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. KAPIL MISHRACredential: MD
Location Address850 HEALTH SCIENCES RDIrvine, CA 92617-3058
Mailing Address850 Health Sciences RdIrvine, CA 92617-3058
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
NPI 1790149896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in CA · A168327
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License A168327 (CA), D94131 (MD)
850 HEALTH SCIENCES RD, Irvine, CA 92617

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

Dr. Kapil Mishra 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 ID3476823212
PECOS Enrollment IDI20200710001839
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 16

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.

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.
800 services405 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.
734 services375 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.
429 services236 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.
416 services219 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
164 services41 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
100 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92617 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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Occupational Therapist
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Physician Assistant
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Retina Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Retina Specialist)
850 HEALTH SCIENCES RD
IRVINE, CA 92617
Ophthalmology (Neuro-ophthalmology)
850 HEALTH SCIENCES RD
IRVINE, CA 92617

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 Kapil Mishra's NPI number?

The NPI number for Kapil Mishra is 1790149896. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Kapil Mishra located?

Kapil Mishra practices at 850 Health Sciences Rd, Irvine, CA 92617. The listed phone number is (949) 824-2020.

What is Kapil Mishra's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Kapil Mishra enrolled in Medicare?

Yes. Kapil Mishra 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.

When was this NPI record last updated?

The NPPES record for Kapil Mishra was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.