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SAM N NIKOU MD
NPI 1861416802
Ophthalmology in Glendale, CA

Active since July 26, 2006PECOS Enrolled
18.62/100
CMS Quality Rating
1300 S CENTRAL AVE, GLENDALE, CA 91204(818) 240-2242 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam N Nikou Md NPPES

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

SAM N NIKOU MD (NPI 1861416802) is an individual ophthalmology provider in Glendale, California, licensed in California (A47763) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861416802
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSAM N NIKOUCredential: MD
Location Address1300 S CENTRAL AVEGlendale, CA 91204-2506
Mailing AddressPo Box 6992Beverly Hills, CA 90212-6992 · (818) 240-2242
Phone(818) 240-2242
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1861416802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A47763
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.

1300 S CENTRAL AVE, Glendale, CA 91204
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Other Identifiers 4

Medicare ID-Type UnspecifiedWA47763BCA
Medicaid00A477630CA
Medicare UPINF34966
Medicaid00A447631CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam N Nikou Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.

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.
153 services143 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.
149 services135 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.
133 services113 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
58 services57 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
55 services54 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 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.

18.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost62.07

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…
18%114 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.
79%2,732 patients2/55-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.
99%295 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%443 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.
46%1,005 patients2/55-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…
1%1,006 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 758 patients
1%758 patients4/55-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 4

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

ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Physical Medicine & Rehabilitation
1300 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 579-2395
ALL FOR HEALTH HEALTH FOR ALL INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1300 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 549-8800
STANTON H. JOE, M.D., A PROFESSIONAL CORPORATION
Clinic/Center (Radiology)
1300 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 790-9300
DR. MAKAN VAFADAR D.D.S.
Dentist (General Practice)
1300 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 245-8410

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 Sam Nikou's NPI number?

The NPI number for Sam Nikou is 1861416802. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Sam Nikou located?

Sam Nikou practices at 1300 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 240-2242.

What is Sam Nikou's specialty?

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

Is Sam Nikou enrolled in Medicare?

Yes. Sam Nikou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Nikou was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.