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DR. W ANDREW CIES M.D.
NPI 1922041904
Ophthalmology in Newport Beach, CA

Active since June 14, 2006PECOS Enrolled
82.52/100
CMS Quality Rating
400 NEWPORT CENTER DR #404, NEWPORT BEACH, CA 92660(949) 640-2023(949) 640-7182 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. W Andrew Cies M.d. NPPES

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

DR. W ANDREW CIES M.D. (NPI 1922041904) is an individual ophthalmology provider in Newport Beach, California, licensed in California (G24340) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1971).

NPPES Registry Identity

NPI1922041904
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. W ANDREW CIESCredential: M.D.
Location Address400 NEWPORT CENTER DR #404Newport Beach, CA 92660-7687
Mailing Address400 Newport Center Dr #404Newport Beach, CA 92660-7687 · (949) 640-2023 · Fax (949) 640-7182
Phone(949) 640-2023
Fax(949) 640-7182
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 1971
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 29, 2016
✔ NPI 1922041904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G24340
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.
Also ListedTechnician/Technologist · OphthalmicTaxonomy 156FX1100X · License G24340 (CA)

Other Identifiers 2

Medicare NSC0526290001CA
Medicare UPING24340CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. W Andrew Cies M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608986153
PECOS Enrollment IDI20110405000695
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 W Cies reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newport Center Eye Specialists A Medical Corporation
Ophthalmology
400 NEWPORT CENTER DR STE 404
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1881983716 (949) 640-2023

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 13

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.

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.
704 services666 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.
440 services292 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
278 services260 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
264 services207 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.
194 services183 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
193 services145 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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.

82.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.59
Promoting Interoperability93
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
0%672 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%4,074 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
9%185 patients
Provide Patients Electronic Access to Their Health Information
57%1,060 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%121 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
93%61 patients3/55-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.

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 W Cies's NPI number?

The NPI number for W Cies is 1922041904. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is W Cies located?

W Cies practices at 400 Newport Center Dr #404, Newport Beach, CA 92660. The listed phone number is (949) 640-2023.

What is W Cies's specialty?

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

Is W Cies enrolled in Medicare?

Yes. W Cies is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for W Cies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), W Cies reassigns Medicare benefits to Newport Center Eye Specialists A Medical Corporation (Newport Beach, 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 W Cies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does W Cies accept?

Health plans from Providence Health Plan list W Cies 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 W Cies was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.