Active NPI 1861416802 Individual Practitioner Male Practitioner

Dr. Sam N Nikou , MD

Ophthalmology • Glendale, CA

Professional Overview & Biography Verified Profile Summary

Dr. Sam Nikou, MD is a registered healthcare professional specializing in Ophthalmology in Glendale, CA. Practice services are available at 1300 S CENTRAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include extended exam of the back part of the eye with retinal drawing, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 S Central Ave

Glendale, CA 912042506

Telephone 8182402242

Associated Practice Facility / Clinic

🏢 Stanton H. Joe, M.d., A Professional Corporation Facility NPI 1417039942

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Glendale, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.6 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

30 Specialists

Practicing in Glendale, CA (3116 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92201 Extended exam of the back part of the eye with retinal drawing	153	143	$50.00	$26.82
92014 Established patient complete exam of visual system	149	135	$150.00	$140.47
92134 Imaging of retina	133	113	$50.00	$44.85
92202 Extended exam of the back part of the eye with optic nerve drawing	58	57	$50.00	$16.65
92012 Established patient problem focused exam of visual system	55	54	$120.00	$99.89
92004 New patient complete exam of visual system	29	29	$200.00	$165.67
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$166.73	$100.53
67028 Injection of drug into eye	23	13	$500.00	$123.52
67515 Injection of medication or substance into membrane covering eyeball	22	12	$120.00	$34.05
66984 Removal of cataract with insertion of lens	17	13	$1000.00	$587.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	903	482	$150.00	$141.04
92201 Extended exam of the back part of the eye with retinal drawing	830	524	$50.00	$26.68
92134 Imaging of retina	570	330	$50.00	$44.89
J9035 Injection, bevacizumab, 10 mg	248	43	$125.00	$70.91
67028 Injection of drug into eye	155	45	$500.00	$123.99
67515 Injection of medication or substance into membrane covering eyeball	155	44	$120.00	$28.55
92202 Extended exam of the back part of the eye with optic nerve drawing	148	116	$50.00	$16.82
92004 New patient complete exam of visual system	140	140	$194.25	$165.90
92012 Established patient problem focused exam of visual system	94	83	$120.00	$100.63
76511 1d ultrasound scan of eye tissue and structures	65	56	$135.69	$60.19
92136 Measurement of corneal curvature and depth of eye	58	52	$143.00	$45.73
66984 Removal of cataract with insertion of lens	47	36	$1045.96	$589.57
92133 Imaging of optic nerve	21	19	$50.00	$40.47
92083 Exam of visual field with extended testing	18	17	$100.60	$70.86
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$400.00	$370.99
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	12	$20.00	$15.90
92285 Photography of content of eyes	11	11	$30.00	$24.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	832	473	$50.00	$45.52
92014 Established patient complete exam of visual system	736	423	$150.00	$142.55
92201 Extended exam of the back part of the eye with retinal drawing	544	378	$50.00	$26.98
92202 Extended exam of the back part of the eye with optic nerve drawing	437	315	$50.00	$17.22
92012 Established patient problem focused exam of visual system	322	237	$120.00	$100.65
J9035 Injection, bevacizumab, 10 mg	226	43	$125.00	$68.37
92004 New patient complete exam of visual system	148	148	$165.00	$163.53
67515 Injection of medication or substance into membrane covering eyeball	133	45	$120.00	$32.97
67028 Injection of drug into eye	130	45	$161.31	$125.08
76511 1d ultrasound scan of eye tissue and structures	100	60	$109.20	$57.60
66984 Removal of cataract with insertion of lens	73	48	$1024.66	$592.99
92136 Measurement of corneal curvature and depth of eye	71	56	$143.00	$46.25
92133 Imaging of optic nerve	64	49	$50.00	$40.63
92083 Exam of visual field with extended testing	45	41	$100.60	$71.67
66821 Removal of recurring cataract in lens capsule using a laser	38	34	$400.00	$374.39
67820 Removal of eyelashes using forceps	27	16	$70.00	$20.82
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	22	22	$20.00	$16.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	19	$20.00	$16.87
92285 Photography of content of eyes	18	18	$30.00	$23.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	862	446	$50.00	$43.61
76512 Ultrasound of eye disease, growth, or structure	808	468	$120.00	$55.81
92014 Established patient complete exam of visual system	802	428	$264.70	$144.17
J9035 Injection, bevacizumab, 10 mg	326	51	$125.00	$72.14
92202 Extended exam of the back part of the eye with optic nerve drawing	312	231	$50.00	$17.60
92012 Established patient problem focused exam of visual system	258	208	$120.00	$102.58
67028 Injection of drug into eye	221	53	$130.00	$127.60
67515 Injection of medication or substance into membrane covering eyeball	219	53	$120.00	$32.50
92004 New patient complete exam of visual system	153	153	$165.62	$165.39
92201 Extended exam of the back part of the eye with retinal drawing	95	85	$50.00	$27.52
92136 Measurement of corneal curvature and depth of eye	50	40	$143.00	$59.62
76511 1d ultrasound scan of eye tissue and structures	48	34	$113.75	$59.70
66984 Removal of cataract with insertion of lens	48	32	$1000.00	$561.03
92133 Imaging of optic nerve	35	27	$50.00	$39.59
92083 Exam of visual field with extended testing	32	28	$100.60	$73.09
67820 Removal of eyelashes using forceps	32	19	$70.00	$23.35
66821 Removal of recurring cataract in lens capsule using a laser	27	27	$400.00	$380.97
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	25	$20.00	$17.14
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	18	16	$20.00	$16.26
92020 Examination of cornea and iris using lens device and slit lamp	15	15	$40.00	$31.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	634	380	$157.14	$144.64
92134 Imaging of retina	484	232	$52.56	$45.32
92202 Extended exam of the back part of the eye with optic nerve drawing	425	270	$50.85	$17.84
76512 Ultrasound of eye disease, growth, or structure	342	256	$120.00	$60.81
92012 Established patient problem focused exam of visual system	341	240	$118.81	$101.48
J9035 Injection, bevacizumab, 10 mg	322	60	$140.14	$78.44
67028 Injection of drug into eye	264	62	$134.39	$113.70
67515 Injection of medication or substance into membrane covering eyeball	245	60	$120.82	$45.39
92201 Extended exam of the back part of the eye with retinal drawing	166	132	$62.11	$28.14
92004 New patient complete exam of visual system	82	82	$168.84	$166.67
93892 Ultrasound of within the brain blood flow for blood clots	69	69	$100.00	$66.81
93886 Complete ultrasound of within the brain blood flow	69	69	$100.00	$52.78
93890 Ultrasound of within the brain blood flow following medication	69	69	$100.00	$57.69
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	63	51	$20.32	$16.90
76511 1d ultrasound scan of eye tissue and structures	45	28	$108.89	$66.20
66984 Removal of cataract with insertion of lens	40	26	$1082.50	$617.37
92136 Measurement of corneal curvature and depth of eye	38	29	$143.00	$66.52
66821 Removal of recurring cataract in lens capsule using a laser	26	26	$400.00	$382.70
92083 Exam of visual field with extended testing	24	24	$100.60	$73.54
92133 Imaging of optic nerve	23	21	$55.91	$41.13
92020 Examination of cornea and iris using lens device and slit lamp	17	15	$41.32	$31.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	15	$20.00	$17.09
92285 Photography of content of eyes	11	11	$31.95	$23.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,777	440	$31.83	$27.46
92012 Established patient problem focused exam of visual system	722	412	$103.86	$97.97
92134 Imaging of retina	695	246	$47.79	$33.40
92014 Established patient complete exam of visual system	552	401	$158.38	$140.53
J9035 Injection, bevacizumab, 10 mg	324	59	$125.00	$79.92
67515 Injection of medication or substance into membrane covering eyeball	225	59	$104.37	$61.29
67028 Injection of drug into eye	219	59	$120.33	$111.12
92225 Examination of eye by ophthalmoscope with retinal drawing	218	111	$33.24	$29.93
92004 New patient complete exam of visual system	170	170	$182.06	$167.50
92133 Imaging of optic nerve	92	58	$48.55	$30.51
66984 Removal of cataract with insertion of lens	87	54	$806.89	$706.51
92136 Measurement of corneal curvature and depth of eye	87	64	$110.96	$67.62
92083 Exam of visual field with extended testing	62	61	$100.60	$72.97
92020 Examination of cornea and iris using lens device and slit lamp	57	53	$33.20	$29.84
76511 1d ultrasound scan of eye tissue and structures	37	28	$78.92	$61.24
67820 Removal of eyelashes using forceps	32	15	$54.76	$37.03
92285 Photography of content of eyes	31	31	$29.26	$21.43
15823 Removal of excessive skin and fat of upper eyelid	26	26	$888.95	$678.88
66821 Removal of recurring cataract in lens capsule using a laser	26	24	$392.37	$371.53
76512 Ultrasound of eye disease, growth, or structure	20	19	$104.56	$69.08
92132 Imaging of front third of eye	16	12	$80.00	$24.64
67800 Removal of eyelid growth	14	13	$161.43	$141.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,742	411	$26.00	$25.60
92012 Established patient problem focused exam of visual system	983	490	$90.56	$89.16
92134 Imaging of retina	597	200	$44.50	$30.17
92014 Established patient complete exam of visual system	351	263	$130.82	$128.86
J9035 Injection, bevacizumab, 10 mg	300	49	$142.83	$76.90
92004 New patient complete exam of visual system	172	172	$157.54	$155.28
67515 Injection of medication or substance into membrane covering eyeball	171	51	$103.18	$68.54
67028 Injection of drug into eye	169	51	$122.03	$107.16
92225 Examination of eye by ophthalmoscope with retinal drawing	160	81	$28.20	$27.77
66984 Removal of cataract with insertion of lens	68	48	$806.89	$675.28
92083 Exam of visual field with extended testing	61	59	$100.60	$69.40
92136 Measurement of corneal curvature and depth of eye	61	59	$98.04	$85.68
92020 Examination of cornea and iris using lens device and slit lamp	53	47	$28.63	$28.17
92133 Imaging of optic nerve	48	32	$47.36	$28.80
66821 Removal of recurring cataract in lens capsule using a laser	40	35	$353.32	$342.66
76512 Ultrasound of eye disease, growth, or structure	26	26	$102.84	$81.34
67820 Removal of eyelashes using forceps	25	14	$54.76	$43.87
67800 Removal of eyelid growth	14	11	$136.67	$132.78
92285 Photography of content of eyes	13	13	$27.73	$19.56
15823 Removal of excessive skin and fat of upper eyelid	12	12	$774.10	$634.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,790	407	$26.04	$25.59
92012 Established patient problem focused exam of visual system	849	416	$90.53	$89.10
92134 Imaging of retina	557	158	$48.57	$30.12
92014 Established patient complete exam of visual system	435	327	$130.82	$128.77
J9035 Injection, bevacizumab, 10 mg	320	40	$139.54	$73.14
92004 New patient complete exam of visual system	202	202	$157.54	$155.15
67515 Injection of medication or substance into membrane covering eyeball	166	41	$102.58	$78.75
92225 Examination of eye by ophthalmoscope with retinal drawing	166	83	$28.20	$27.75
67028 Injection of drug into eye	166	41	$124.28	$106.16
76512 Ultrasound of eye disease, growth, or structure	99	82	$102.84	$98.62
66984 Removal of cataract with insertion of lens	86	61	$806.89	$668.40
92133 Imaging of optic nerve	61	42	$47.36	$29.79
92136 Measurement of corneal curvature and depth of eye	57	54	$98.04	$96.47
92083 Exam of visual field with extended testing	40	38	$100.60	$69.13
66821 Removal of recurring cataract in lens capsule using a laser	29	26	$353.32	$347.67
67820 Removal of eyelashes using forceps	26	15	$54.76	$52.32
76519 Ultrasound of eye for determination of lens power	25	23	$91.40	$89.94
92020 Examination of cornea and iris using lens device and slit lamp	21	20	$28.63	$28.19
92285 Photography of content of eyes	11	11	$27.73	$21.99
15823 Removal of excessive skin and fat of upper eyelid	11	11	$780.83	$623.45

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A47763

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A447631 (CA)

Medicaid State Provider ID

00A477630 (CA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Makan Vafadar , DDS

Dentist - General Practice

NPI 1720130859

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1300 S CENTRAL AVE, GLENDALE, CA 912042506 (Tel: 8182402242)

📍

Updated Business Mailing Address July 09, 2007

Registered at PO BOX 6992, BEVERLY HILLS, CA 902126992 (Tel: 8182402242)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as SAM NIKOU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #A47763 in CA)

🟢

Initial NPI Registration & Enumeration July 26, 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: 1861416802

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6992

Beverly Hills, CA 902126992

Phone: 8182402242

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.