MR. BRIAN JONATHAN NGUYEN MD
NPI 1912469792
Ophthalmology in Valencia, CA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
74.77/100
CMS Quality Rating
27420 TOURNEY RD STE 100, VALENCIA, CA 91355(661) 259-3937(661) 259-3904 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2020, Apr 2, 2019 (2 updates tracked since 2019).

About Mr. Brian Jonathan Nguyen Md NPPES

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

MR. BRIAN JONATHAN NGUYEN MD (NPI 1912469792) is an individual ophthalmology provider in Valencia, California, licensed in Pennsylvania (MT221626) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1912469792
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. BRIAN JONATHAN NGUYENCredential: MD
Location Address27420 TOURNEY RD STE 100Valencia, CA 91355-5631
Mailing Address27420 Tourney Rd Ste 100Valencia, CA 91355-5631 · (661) 259-3937 · Fax (661) 259-3907
Fax(661) 259-3904
Sole ProprietorNo
Medical School CMSOther
Enumeration DateApril 2, 2019
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1912469792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MT221626
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.
27420 TOURNEY RD STE 100, Valencia, CA 91355

Other Identifiers 1

MedicaidMT221626PA

Accepted 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

Mr. Brian Jonathan Nguyen 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 ID1759616659
PECOS Enrollment IDI20230705001143
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 Reassignments

2

Medicare enrollment records show Brian Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
27420 TOURNEY ROAD, SUITE 100
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
Ophthalmology
50 S SAN MATEO DR, SUITE 200
San Mateo, CA 94401
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 21

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
557 services216 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.
534 services387 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
526 services391 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.
311 services287 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.
195 services182 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
188 services169 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91355 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.

74.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.91
Improvement Activities40
Cost18.69

Other Providers at the Same Location NPPES 8

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

Optometrist
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Ophthalmology
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Optometrist
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Ophthalmology
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Optometrist
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Ophthalmology
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Ophthalmology
27420 TOURNEY RD STE 100
VALENCIA, CA 91355
Optometrist
27420 TOURNEY RD STE 100
VALENCIA, CA 91355

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 Brian Nguyen's NPI number?

The NPI number for Brian Nguyen is 1912469792. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Brian Nguyen located?

Brian Nguyen practices at 27420 Tourney Rd Ste 100, Valencia, CA 91355. The listed phone number is (661) 259-3937.

What is Brian Nguyen's specialty?

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

Is Brian Nguyen enrolled in Medicare?

Yes. Brian Nguyen 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 organizations bill Medicare for Brian Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Nguyen reassigns Medicare benefits to 2 organizations: Craig Helm M D A Professional Corporation (Valencia, CA) and Mid Peninsula Eye Physicians & Surgeons Medical Group (San Mateo, CA). Each 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 Brian Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Nguyen accept?

Health plans from Providence Health Plan list Brian Nguyen 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 Brian Nguyen was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.