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DR. RICHARD BRIAN FOULKES M.D,
NPI 1932312063
Ophthalmology in Montebello, CA

Active since May 07, 2007PECOS Enrolled
2446 W WHITTIER BLVD, MONTEBELLO, CA 90640(323) 728-5500(323) 728-4408 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2023, Dec 20, 2021, Sep 30, 2020 (3 updates tracked since 2020).

About Dr. Richard Brian Foulkes M.d, NPPES

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

DR. RICHARD BRIAN FOULKES M.D, (NPI 1932312063) is an individual ophthalmology provider in Montebello, California, licensed in California (G85290) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932312063
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICHARD BRIAN FOULKESCredential: M.D,
Location Address2446 W WHITTIER BLVDMontebello, CA 90640-3041
Mailing Address6857 Camrose DrLos Angeles, CA 90068-3100 · (708) 955-5678
Phone(323) 728-5500
Fax(323) 728-4408
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 16, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1932312063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in CA · G85290✔ Licensed in IL · 036086926
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.
2446 W WHITTIER BLVD, Montebello, CA 90640
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Brian Foulkes M.d, 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Foulkes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

De La Pena Eye Clinic, A Medical Group, Inc.
Same address
Ophthalmology
2446 W WHITTIER BLVD
Montebello, CA 90640
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1114931052 (323) 728-5500
Southern California Permanente Medical Group
2.6 mi
Health Maintenance Organization
8800 WHITTIER BLVD
Pico Rivera, CA 90660
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1891287827 (877) 608-0044
First Choice Physician Partners
15 mi
Gynecology
5152 KATELLA AVE, #106
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1427479203 (562) 431-5000

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 2

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 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.
21 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90640 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.

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…
15%53 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
94%52 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
98%104 patients
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
96%57 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
50%20 patients3/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
87%23 patients4/55-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.
92%2,782 patients4/55-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%1,719 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.
93%3,017 patients4/55-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.
87%1,219 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
17%170 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%156 patients1/55-star benchmark: 88%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
84%56 patients3/55-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…
44%1,219 patients2/55-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+: 0% · 413 patients
0%413 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 14

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

LINDSAY YOUNGMI CHUN MD
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
DR. XUAN CAO MD
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
MS. HAMIDEH SADAT MOAYEDPARDAZI
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
DR. BENJAMIN MANDEL M.D
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
MELISSA MAYBERRY CROWLEY M.D.
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
THIEN T NGUYEN O.D.
Optometrist
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500
FIRST CHOICE PHYSICIAN PARTNERS
Ophthalmology
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 728-5500

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 Richard Foulkes's NPI number?

The NPI number for Richard Foulkes is 1932312063. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Richard Foulkes located?

Richard Foulkes practices at 2446 W Whittier Blvd, Montebello, CA 90640. The listed phone number is (323) 728-5500.

What is Richard Foulkes's specialty?

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

Is Richard Foulkes enrolled in Medicare?

Yes. Richard Foulkes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Foulkes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Foulkes reassigns Medicare benefits to 3 organizations: De La Pena Eye Clinic, A Medical Group, Inc. (Montebello, CA), Southern California Permanente Medical Group (Pico Rivera, CA) and First Choice Physician Partners (Los Alamitos, 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 Richard Foulkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Foulkes was last updated on February 16, 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.