DR. BRENT LEONG LUM M.D.
NPI 1891954772
Ophthalmology in Modesto, CA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
4601 DALE RD, MODESTO, CA 95356(209) 476-3484(209) 476-3012 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brent Leong Lum M.d. NPPES

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

DR. BRENT LEONG LUM M.D. (NPI 1891954772) is an individual ophthalmology provider in Modesto, California, licensed in California (A116550) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2007).

NPPES Registry Identity

NPI1891954772
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRENT LEONG LUMCredential: M.D.
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address3650 Somerset AveCastro Valley, CA 94546-3439 · (510) 886-2503
Fax(209) 476-3012
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2007
Enumeration DateJune 5, 2008
Last NPPES UpdateDecember 15, 2021
NPI 1891954772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CA · A116550 Licensed in TX · BP1-0032047
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.
4601 DALE RD, Modesto, CA 95356

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. Brent Leong Lum M.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 ID749450567
PECOS Enrollment IDI20110902000111
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356

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 Brent Lum's NPI number?

The NPI number for Brent Lum is 1891954772. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Brent Lum located?

Brent Lum practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 476-3484.

What is Brent Lum's specialty?

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

Is Brent Lum enrolled in Medicare?

Yes. Brent Lum 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 Brent Lum was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.