DR. RAJIV RAMESH RATHOD MD
NPI 1821201351
Ophthalmology in Santa Ana, CA

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 N TUSTIN AVE, SUITE 140, SANTA ANA, CA 92705(714) 972-8432(714) 972-4715 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rajiv Ramesh Rathod Md NPPES

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

DR. RAJIV RAMESH RATHOD MD (NPI 1821201351) is an individual ophthalmology provider in Santa Ana, California, licensed in California (A120894) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2005).

NPPES Registry Identity

NPI1821201351
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RAJIV RAMESH RATHODCredential: MD
Location Address1200 N TUSTIN AVE, SUITE 140Santa Ana, CA 92705-3508
Mailing Address1200 N Tustin Ave, Suite 140Santa Ana, CA 92705-3508 · (714) 972-8432 · Fax (714) 972-4715
Fax(714) 972-4715
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2005
Enumeration DateMay 8, 2007
Last NPPES UpdateFebruary 18, 2013
NPI 1821201351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A120894 Licensed in MO · 2009008059 Licensed in IL · 036125717
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.
1200 N TUSTIN AVE, Santa Ana, CA 92705

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. Rajiv Ramesh Rathod 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 ID3375693518
PECOS Enrollment IDI20120813000301
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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
40,740 services130 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.
3,844 services1,281 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
3,723 services1,283 patients
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.
3,343 services1,142 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.
2,450 services353 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,166 services205 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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.

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

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%73 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 20

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

Dentist (General Practice)
1200 N TUSTIN AVE, SUITE# 110
SANTA ANA, CA 92705
Clinic/Center (Ambulatory Surgical)
1200 N TUSTIN AVE, SUITE 155
SANTA ANA, CA 92705
Dentist (General Practice)
1200 N TUSTIN AVE, 110
SANTA ANA, CA 92705
Dentist (Oral and Maxillofacial Surgery)
1200 N TUSTIN AVE, SUITE 108
SANTA ANA, CA 92705
Dentist
1200 N TUSTIN AVE, SUITE 220
SANTA ANA, CA 92705
Ophthalmology
1200 N TUSTIN AVE, 240
SANTA ANA, CA 92705
Orthopaedic Surgery
1200 N TUSTIN AVE, SUITE 250
SANTA ANA, CA 92705
Clinic/Center (Community Health)
1200 N TUSTIN AVE, SUITE 130
SANTA ANA, CA 92705

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 Rajiv Rathod's NPI number?

The NPI number for Rajiv Rathod is 1821201351. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Rajiv Rathod located?

Rajiv Rathod practices at 1200 N Tustin Ave Suite 140, Santa Ana, CA 92705. The listed phone number is (714) 972-8432.

What is Rajiv Rathod's specialty?

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

Is Rajiv Rathod enrolled in Medicare?

Yes. Rajiv Rathod 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 Rajiv Rathod was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.