Active NPI 1801824313 Individual Practitioner Male Practitioner

Dr. Frank Anthony Scotti , MD

Ophthalmology • Encinitas, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Frank Scotti, MD is a certified Ophthalmology practicing in Encinitas, CA. With approximately 48 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1978, Dr. Scotti delivers high-quality medical care to the local community at 326 SANTA FE DR.

Dr. Scotti accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

326 Santa Fe Dr

Encinitas, CA 920245156

Telephone 7606337020

Associated Practice Facility / Clinic

🏢 Scripps Health Facility NPI 1861477846

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Encinitas, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +25.4 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Encinitas, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scotti (48 Years) 48 Yrs

Encinitas Specialty Average (22.6 Years) 22.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	204	$350.30	$136.90
99213 Established patient office or other outpatient visit, typically 15 minutes	232	123	$248.45	$97.45
92133 Imaging of optic nerve	152	143	$124.65	$39.50
92083 Exam of visual field with extended testing	99	96	$210.23	$69.71
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	83	60	$59.29	$16.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$452.88	$176.79
92134 Imaging of retina	63	57	$136.44	$44.11
66821 Removal of recurring cataract in lens capsule using a laser	28	21	$1302.60	$365.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$305.20	$118.49
76514 Ultrasound scan of cornea to determine thickness	11	11	$63.40	$11.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	700	269	$195.27	$97.05
92014 Established patient complete exam of visual system	641	467	$281.02	$139.70
92133 Imaging of optic nerve	375	320	$81.37	$39.12
92083 Exam of visual field with extended testing	356	282	$141.54	$70.30
92134 Imaging of retina	126	109	$89.44	$44.13
92012 Established patient problem focused exam of visual system	78	61	$199.76	$99.75
66821 Removal of recurring cataract in lens capsule using a laser	65	55	$738.91	$366.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$274.56	$136.83
92004 New patient complete exam of visual system	40	40	$332.07	$165.17
66984 Removal of cataract with insertion of lens	28	21	$1280.00	$581.56
92025 Ct scan of cornea	25	21	$75.32	$35.61
92136 Measurement of corneal curvature and depth of eye	24	20	$86.88	$43.77
67820 Removal of eyelashes using forceps	22	11	$47.27	$22.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$123.50	$61.36
76514 Ultrasound scan of cornea to determine thickness	15	15	$24.87	$11.68
92020 Examination of cornea and iris using lens device and slit lamp	13	11	$60.54	$30.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	583	255	$199.00	$98.31
92014 Established patient complete exam of visual system	581	453	$284.00	$140.65
92083 Exam of visual field with extended testing	342	250	$143.00	$70.72
92133 Imaging of optic nerve	311	269	$82.88	$39.25
92012 Established patient problem focused exam of visual system	229	162	$201.00	$99.60
92134 Imaging of retina	121	100	$91.00	$44.66
66821 Removal of recurring cataract in lens capsule using a laser	82	67	$744.00	$369.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	65	$280.00	$138.86
92004 New patient complete exam of visual system	59	59	$335.00	$165.95
92025 Ct scan of cornea	56	51	$78.88	$35.95
66984 Removal of cataract with insertion of lens	44	34	$1261.82	$580.81
92136 Measurement of corneal curvature and depth of eye	44	41	$110.95	$54.84
76519 Ultrasound of eye for determination of lens power	28	24	$116.29	$57.44
76514 Ultrasound scan of cornea to determine thickness	23	21	$25.00	$12.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$125.00	$61.55
92020 Examination of cornea and iris using lens device and slit lamp	21	17	$62.00	$30.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$393.00	$194.29
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$1600.94	$797.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	513	238	$197.42	$99.04
92014 Established patient complete exam of visual system	496	421	$280.46	$140.65
92012 Established patient problem focused exam of visual system	387	260	$199.42	$100.01
92083 Exam of visual field with extended testing	332	269	$141.78	$71.22
92133 Imaging of optic nerve	330	305	$81.89	$39.76
92134 Imaging of retina	221	199	$90.90	$44.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	112	$280.34	$140.27
66821 Removal of recurring cataract in lens capsule using a laser	92	78	$741.45	$369.92
66984 Removal of cataract with insertion of lens	85	67	$1175.93	$589.66
76519 Ultrasound of eye for determination of lens power	82	61	$122.63	$61.32
67820 Removal of eyelashes using forceps	41	17	$50.95	$23.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$123.00	$61.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$390.00	$195.13
92004 New patient complete exam of visual system	29	29	$332.76	$166.68
92136 Measurement of corneal curvature and depth of eye	20	20	$116.40	$58.26
66982 Complex removal of cataract with insertion of prosthetic lens	19	15	$1607.68	$806.78
76514 Ultrasound scan of cornea to determine thickness	17	17	$25.00	$12.04
92025 Ct scan of cornea	14	13	$82.00	$37.87
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$61.17	$30.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	854	336	$195.70	$97.53
92014 Established patient complete exam of visual system	842	636	$277.85	$138.33
92133 Imaging of optic nerve	375	304	$82.00	$39.64
92083 Exam of visual field with extended testing	371	282	$141.00	$70.34
92134 Imaging of retina	183	162	$90.00	$44.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	125	$234.68	$117.23
76519 Ultrasound of eye for determination of lens power	114	89	$126.93	$64.68
66984 Removal of cataract with insertion of lens	104	77	$1192.76	$588.81
92004 New patient complete exam of visual system	99	99	$330.90	$165.00
66821 Removal of recurring cataract in lens capsule using a laser	78	68	$743.50	$366.68
67820 Removal of eyelashes using forceps	54	23	$60.80	$28.90
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$162.53	$80.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$98.66	$49.49
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$1632.00	$814.15
92002 New patient problem focused exam of visual system	13	13	$186.08	$92.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	987	744	$230.78	$135.90
92012 Established patient problem focused exam of visual system	764	304	$167.63	$94.93
92083 Exam of visual field with extended testing	391	312	$142.27	$69.75
92133 Imaging of optic nerve	311	292	$96.86	$39.48
92134 Imaging of retina	228	185	$101.18	$43.54
99213 Established patient office or other outpatient visit, typically 15 minutes	152	106	$109.82	$78.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	114	$187.28	$111.31
66984 Removal of cataract with insertion of lens	119	92	$2231.11	$673.01
92004 New patient complete exam of visual system	106	106	$283.49	$159.77
92136 Measurement of corneal curvature and depth of eye	97	82	$125.84	$61.85
66821 Removal of recurring cataract in lens capsule using a laser	73	64	$815.21	$357.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$83.22	$48.05
67820 Removal of eyelashes using forceps	26	13	$100.77	$37.47
76519 Ultrasound of eye for determination of lens power	25	23	$128.32	$65.88
92020 Examination of cornea and iris using lens device and slit lamp	19	16	$59.74	$29.58
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$3179.64	$842.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	930	736	$160.00	$130.16
92012 Established patient problem focused exam of visual system	695	299	$110.00	$90.90
92083 Exam of visual field with extended testing	385	333	$145.00	$67.27
92133 Imaging of optic nerve	361	347	$120.00	$38.77
99213 Established patient office or other outpatient visit, typically 15 minutes	252	151	$80.52	$74.19
92134 Imaging of retina	233	194	$120.00	$42.79
92004 New patient complete exam of visual system	175	175	$180.00	$156.09
92136 Measurement of corneal curvature and depth of eye	135	111	$130.00	$61.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	110	$109.13	$106.07
66984 Removal of cataract with insertion of lens	112	88	$3500.00	$652.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	85	$74.84	$45.00
66821 Removal of recurring cataract in lens capsule using a laser	69	56	$1000.00	$337.72
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$4000.00	$788.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	972	788	$165.33	$122.11
92012 Established patient problem focused exam of visual system	547	284	$109.71	$84.29
92133 Imaging of optic nerve	420	393	$120.00	$36.12
99213 Established patient office or other outpatient visit, typically 15 minutes	404	202	$82.54	$71.07
92083 Exam of visual field with extended testing	398	336	$145.00	$64.18
92134 Imaging of retina	228	192	$120.00	$39.98
92136 Measurement of corneal curvature and depth of eye	163	123	$130.00	$67.84
92004 New patient complete exam of visual system	162	162	$186.17	$147.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	122	$109.20	$104.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	111	$74.58	$42.71
66984 Removal of cataract with insertion of lens	135	105	$3500.00	$622.10
66821 Removal of recurring cataract in lens capsule using a laser	79	66	$1000.00	$320.88
66982 Complex removal of cataract with insertion of prosthetic lens	18	15	$4000.00	$774.24
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$62.31	$26.46

Medical Specialties & State Licenses

CMS Verified: 2024-03-11

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G40698

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Andre Aung , MD

Ophthalmology

NPI 1750802880

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 11, 2024

Registered at 326 SANTA FE DR, ENCINITAS, CA 920245156 (Tel: 7606337020)

📍

Updated Business Mailing Address March 11, 2024

Registered at 10790 RANCHO BERNARDO RD, SAN DIEGO, CA 921275705 (Tel: 7606337020)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 320 SANTA FE DR, ENCINITAS, CA 920245138 (Tel: 7609437141)

📍

Updated Business Mailing Address July 08, 2007

Registered at 320 SANTA FE DR, ENCINITAS, CA 920245139 (Tel: 7609437141)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as FRANK SCOTTI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #G40698 in CA)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801824313

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: March 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10790 Rancho Bernardo Rd

San Diego, CA 921275705

Phone: 7606337020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.