DR. KIRK HOU MD, PHD
NPI 1962883025
Ophthalmology - Retina Specialist in Los Angeles, CA

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
74.56/100
CMS Quality Rating
200 STEIN PLAZA #1-340, LOS ANGELES, CA 90095(310) 825-5000 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2020, Jul 26, 2019, Jun 23, 2016 (3 updates tracked since 2016).

About Dr. Kirk Hou Md, Phd NPPES

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

DR. KIRK HOU MD, PHD (NPI 1962883025) is an individual retina specialist in Los Angeles, California, licensed in California (A143728) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962883025
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. KIRK HOUCredential: MD, PHD
Location Address200 STEIN PLAZA #1-340Los Angeles, CA 90095
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateJanuary 22, 20203 updates tracked since enumeration
✔ NPI 1962883025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in CA · A143728
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Secondary Practice Location 1

Location 1100 Stein PlzLos Angeles, CA 90095-7065 · Phone (310) 206-4204

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

Dr. Kirk Hou Md, Phd 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 ID1557675436
PECOS Enrollment IDI20191028000021
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

4

Medicare enrollment records show Kirk Hou reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
72780 COUNTRY CLUB DR STE 104
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Clinic/Center
7515 VAN NUYS BLVD
Van Nuys, CA 91405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
Ophthalmology
100 STEIN PLZ
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 123 clinicians in this Medicare group
Ophthalmology
360 N BEDFORD DR FL 3
Beverly Hills, CA 90210
  • Reassigned Medicare billing, California enrollment
  • 4 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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,738 services15 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.
1,276 services682 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.
710 services518 patients
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.
701 services466 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.
541 services221 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
365 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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.

74.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.02
Promoting Interoperability100
Improvement Activities40
Cost30.17

Other Providers at the Same Location NPPES 5

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

Ophthalmology
200 STEIN PLAZA #1-340
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA #1-340
LOS ANGELES, CA 90095
Ophthalmology (Retina Specialist)
200 STEIN PLAZA #1-340
LOS ANGELES, CA 90095
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
200 STEIN PLAZA #1-340
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLAZA #1-340
LOS ANGELES, CA 90095

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 Kirk Hou's NPI number?

The NPI number for Kirk Hou is 1962883025. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Kirk Hou located?

Kirk Hou practices at 200 Stein Plaza #1-340, Los Angeles, CA 90095. The listed phone number is (310) 825-5000.

What is Kirk Hou's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Kirk Hou enrolled in Medicare?

Yes. Kirk Hou 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 Kirk Hou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Hou reassigns Medicare benefits to 4 organizations: Coachella Valley Eye Institute PC (Rancho Mirage, CA), County Of Los Angeles (Van Nuys, CA), Jules Stein Eye Institute Medical Group (Los Angeles, CA) and Retina Vision Consultants 360 (Beverly Hills, 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 Kirk Hou'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 Kirk Hou was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.