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DR. BENJAMIN MICHAEL GILSDORF O.D.
NPI 1982710661
Optometrist in San Diego, CA

Active since August 22, 2006PECOS Enrolled
3350 LA JOLLA VILLAGE DR # 112G, SAN DIEGO, CA 92161(858) 552-8585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benjamin Michael Gilsdorf O.d. NPPES

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

DR. BENJAMIN MICHAEL GILSDORF O.D. (NPI 1982710661) is an individual optometrist in San Diego, California, licensed in California (13021T) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2006).

NPPES Registry Identity

NPI1982710661
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN MICHAEL GILSDORFCredential: O.D.
Location Address3350 LA JOLLA VILLAGE DR # 112GSan Diego, CA 92161-0002
Mailing Address6915 Boxford DrSan Diego, CA 92117-4240 · (858) 571-5170
Phone(858) 552-8585
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2006
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982710661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13021T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3350 LA JOLLA VILLAGE DR # 112G, San Diego, CA 92161
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, 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. Benjamin Michael Gilsdorf O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769652478
PECOS Enrollment IDI20110906000639
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 Benjamin Gilsdorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gilsdorf-Yee Optometric Group Inc
423 mi
Optometrist
3708 DUBLIN BOULEVARD
Dublin, CA 94568
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1275843096 (925) 551-3937

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92161 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

HERRICK DUONG OD
Optometrist
3350 LA JOLLA VILLAGE DR # 112G
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
DR. THERESA LUONG OD
Optometrist
3350 LA JOLLA VILLAGE DR # 112G
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
MANIA ASADOURIAN OD
Student in an Organized Health Care Education/Training Program
3350 LA JOLLA VILLAGE DR # 112G
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

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 Benjamin Gilsdorf's NPI number?

The NPI number for Benjamin Gilsdorf is 1982710661. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Benjamin Gilsdorf located?

Benjamin Gilsdorf practices at 3350 La Jolla Village Dr # 112G, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Benjamin Gilsdorf's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benjamin Gilsdorf enrolled in Medicare?

Yes. Benjamin Gilsdorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Gilsdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Gilsdorf reassigns Medicare benefits to Gilsdorf-Yee Optometric Group Inc (Dublin, 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 Benjamin Gilsdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Gilsdorf accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Benjamin Gilsdorf 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 Benjamin Gilsdorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.