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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROSE MARIA CUNNINGHAM-AHUMADA D.O.
NPI 1811996523
Ophthalmology in Laguna Hills, CA

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
25200 LA PAZ RD STE 100, LAGUNA HILLS, CA 92653(949) 489-2218(949) 496-3604 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rose Maria Cunningham-ahumada D.o. NPPES

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

DR. ROSE MARIA CUNNINGHAM-AHUMADA D.O. (NPI 1811996523) is an individual ophthalmology provider in Laguna Hills, California, licensed in California (20A8199) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811996523
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROSE MARIA CUNNINGHAM-AHUMADACredential: D.O.
Location Address25200 LA PAZ RD STE 100Laguna Hills, CA 92653-5134
Mailing Address25200 La Paz Rd Ste 100Laguna Hills, CA 92653-5134 · (949) 489-2218 · Fax (949) 496-3604
Phone(949) 489-2218
Fax(949) 496-3604
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 15, 2005
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1811996523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in CA · 20A8199✔ Licensed in MI · 5101015522
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.
25200 LA PAZ RD STE 100, Laguna Hills, CA 92653
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Rose Maria Cunningham D.o.

Secondary Practice Locations 4

Location 1380 W Central Ave Ste 300Brea, CA 92821-3066 · Phone (714) 529-9563
Location 2653 Camino De Los Mares Ste 103San Clemente, CA 92673-2808 · Phone (949) 489-2218
Location 322 Odyssey Ste 150Irvine, CA 92618-3196 · Phone (949) 489-2218
Location 43301 S Harbor Blvd Ste 104Santa Ana, CA 92704-6857 · Phone (714) 979-2021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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. Rose Maria Cunningham-ahumada D.o. 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 ID7416972617
PECOS Enrollment IDI20051006000762
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 Reassignment

Medicare enrollment records show Rose Cunningham-ahumada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luis A Chanes M D Inc
14 mi
Specialist
2621 S BRISTOL ST, SUITE 205
Santa Ana, CA 92704
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1568481679 (714) 557-5777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%23 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%23 patients5/55-star benchmark: 100%
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%135 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
27%56 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
3%899 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%222 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%316 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%53 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%316 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%316 patients1/55-star benchmark: 79%
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 2

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

KRISTINE DAYRIT OD
Optometrist
25200 LA PAZ RD STE 100
LAGUNA HILLS, CA 92653
Orange County (949) 489-2218
ALAN MATTHEW LANIER OD
Optometrist
25200 LA PAZ RD STE 100
LAGUNA HILLS, CA 92653
Orange County (949) 489-2218

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 Rose Cunningham-ahumada's NPI number?

The NPI number for Rose Cunningham-ahumada is 1811996523. It was assigned to this individual provider in the NPPES registry on July 15, 2005. The provider is also known as Dr. Rose Maria Cunningham D.O..

Where is Rose Cunningham-ahumada located?

Rose Cunningham-ahumada practices at 25200 La Paz Rd Ste 100, Laguna Hills, CA 92653. The listed phone number is (949) 489-2218.

What is Rose Cunningham-ahumada's specialty?

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

Is Rose Cunningham-ahumada enrolled in Medicare?

Yes. Rose Cunningham-ahumada 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 organization bills Medicare for Rose Cunningham-ahumada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Cunningham-ahumada reassigns Medicare benefits to Luis A Chanes M D Inc (Santa Ana, CA). The 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 Rose Cunningham-ahumada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rose Cunningham-ahumada accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Rose Cunningham-ahumada 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 Rose Cunningham-ahumada was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.