Active NPI 1295729465 Individual Practitioner Male Practitioner

Dr. Gregory Allen Stainer , MD FACS

Ophthalmology • La Jolla, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Stainer, MD FACS is a certified Ophthalmology practicing in La Jolla, CA. With approximately 50 years of clinical experience since graduating from Northwestern College Of Chiropractic in 1976, Dr. Stainer delivers high-quality medical care to the local community at 1212 SKYLARK DR.

Dr. Stainer maintains professional affiliations with North County Eye Center, Inc., North County Eye Physicians, Inc, California Retina Associates, Lp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1212 Skylark Dr

La Jolla, CA 920377738

Telephone 6617170237

Associated Practice Facility / Clinic

🏢 Gregory A Stainer, M.d. Facility NPI 1942182522

Medicare Profile & Education

Medical School

Northwestern College Of Chiropractic

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in La Jolla, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +21.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

50 Specialists

Practicing in La Jolla, CA (3116 Statewide)

Telehealth Adoption Rate

8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stainer (50 Years) 50 Yrs

La Jolla Specialty Average (29.0 Years) 29.0 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
92012 Established patient problem focused exam of visual system	69	40	$217.22	$98.55
92014 Established patient complete exam of visual system	45	37	$324.45	$138.82
92250 Photography of the retina	39	36	$119.86	$40.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$239.44	$137.08
92004 New patient complete exam of visual system	27	27	$377.78	$163.27
92136 Measurement of corneal curvature and depth of eye	27	23	$128.19	$47.19
66984 Removal of cataract with insertion of lens	24	19	$1744.83	$577.83
92134 Imaging of retina	22	19	$107.84	$44.40
99213 Established patient office or other outpatient visit, typically 15 minutes	18	11	$159.25	$97.25
92133 Imaging of optic nerve	15	14	$96.38	$39.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$405.26	$177.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	37	$122.65	$97.40
92012 Established patient problem focused exam of visual system	37	28	$146.51	$99.55
92136 Measurement of corneal curvature and depth of eye	23	16	$146.12	$44.17
66984 Removal of cataract with insertion of lens	22	16	$2390.83	$581.10
92014 Established patient complete exam of visual system	21	18	$249.07	$139.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$183.47	$136.98
92004 New patient complete exam of visual system	20	20	$250.00	$164.86
92250 Photography of the retina	16	14	$135.50	$40.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	90	$120.00	$96.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$175.00	$137.06
92025 Ct scan of cornea	25	16	$100.00	$39.98
76514 Ultrasound scan of cornea to determine thickness	23	23	$100.00	$11.92
92136 Measurement of corneal curvature and depth of eye	18	13	$150.00	$47.69
66984 Removal of cataract with insertion of lens	17	13	$2500.00	$583.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	86	$120.00	$96.42
92012 Established patient problem focused exam of visual system	121	77	$145.00	$97.66
76514 Ultrasound scan of cornea to determine thickness	26	24	$100.00	$12.14
92025 Ct scan of cornea	22	16	$100.00	$40.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$175.00	$138.38
65755 Transplantation of tissue from one cornea to other cornea	14	14	$3350.00	$1360.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	271	$200.00	$78.23
92136 Measurement of corneal curvature and depth of eye	255	143	$118.59	$32.91
92012 Established patient problem focused exam of visual system	200	134	$151.20	$96.16
92014 Established patient complete exam of visual system	154	154	$225.16	$134.41
66984 Removal of cataract with insertion of lens	146	118	$2996.58	$573.47
92133 Imaging of optic nerve	97	96	$198.97	$39.75
92083 Exam of visual field with extended testing	73	73	$152.88	$66.89
92250 Photography of the retina	58	58	$247.84	$47.42
92004 New patient complete exam of visual system	52	52	$250.00	$160.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$300.00	$114.97
66821 Removal of recurring cataract in lens capsule using a laser	40	38	$1000.00	$324.53
92134 Imaging of retina	36	33	$200.00	$43.51
92025 Ct scan of cornea	18	15	$100.00	$40.38
0191T Internal insertion of eye fluid drainage device	18	16	$3000.00	$263.94
76514 Ultrasound scan of cornea to determine thickness	16	15	$93.75	$12.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$250.00	$103.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$335.00	$160.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,234	658	$200.00	$76.81
92136 Measurement of corneal curvature and depth of eye	752	359	$120.83	$36.27
92014 Established patient complete exam of visual system	644	625	$225.00	$133.73
66984 Removal of cataract with insertion of lens	444	320	$3000.00	$671.85
92133 Imaging of optic nerve	355	336	$200.00	$38.89
92083 Exam of visual field with extended testing	337	321	$150.00	$68.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	226	$300.00	$112.37
92012 Established patient problem focused exam of visual system	239	200	$165.00	$92.31
92250 Photography of the retina	235	231	$250.00	$53.51
66821 Removal of recurring cataract in lens capsule using a laser	177	156	$1022.60	$333.92
92004 New patient complete exam of visual system	154	154	$250.00	$159.87
92134 Imaging of retina	145	121	$200.00	$43.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$247.00	$111.53
0191T Internal insertion of eye fluid drainage device	80	61	$3000.00	$220.00
17108 Destruction of skin growth (over 50.0 sq centimeters)	76	12	$1000.00	$674.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$335.31	$167.78
67904 Repair of tendon of upper eyelid	15	15	$4000.00	$945.55
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$3000.00	$836.89
92082 Exam of visual field with intermediate testing	11	11	$127.27	$51.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,161	610	$200.00	$74.88
92136 Measurement of corneal curvature and depth of eye	848	396	$119.91	$39.30
92014 Established patient complete exam of visual system	667	631	$225.00	$131.09
66984 Removal of cataract with insertion of lens	478	343	$3000.00	$661.18
92083 Exam of visual field with extended testing	332	319	$150.15	$67.62
92133 Imaging of optic nerve	328	315	$200.00	$39.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	240	$299.67	$110.45
92250 Photography of the retina	252	248	$250.00	$60.23
92012 Established patient problem focused exam of visual system	234	205	$165.00	$91.39
66821 Removal of recurring cataract in lens capsule using a laser	172	158	$1011.63	$326.52
92004 New patient complete exam of visual system	145	145	$250.00	$157.25
92134 Imaging of retina	109	102	$200.00	$43.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$216.54	$107.95
0191T Internal insertion of eye fluid drainage device	50	37	$3000.00	$216.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$321.70	$169.14
66982 Complex removal of cataract with insertion of prosthetic lens	24	21	$3000.00	$827.35
0474T Insertion of drainage device and creation of fluid reservoir in front chamber of eye	22	20	$3000.00	$216.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$100.00	$45.70
67904 Repair of tendon of upper eyelid	17	17	$3882.35	$916.11
92082 Exam of visual field with intermediate testing	14	14	$125.00	$51.02
68761 Closure of tear duct opening using plug	13	11	$465.38	$199.20
67840 Removal of eyelid growth	12	12	$511.25	$293.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,210	633	$200.00	$71.97
92014 Established patient complete exam of visual system	643	609	$225.04	$124.13
66984 Removal of cataract with insertion of lens	461	323	$3000.00	$627.15
92136 Measurement of corneal curvature and depth of eye	457	292	$118.80	$40.38
92083 Exam of visual field with extended testing	415	392	$150.00	$64.98
92133 Imaging of optic nerve	391	359	$200.00	$37.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	230	$300.00	$105.92
92012 Established patient problem focused exam of visual system	272	240	$165.00	$85.57
92250 Photography of the retina	238	231	$250.00	$67.01
92004 New patient complete exam of visual system	169	169	$250.00	$147.07
66821 Removal of recurring cataract in lens capsule using a laser	162	148	$1000.00	$309.60
92134 Imaging of retina	72	66	$200.00	$41.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$300.00	$160.17
0191T Internal insertion of eye fluid drainage device	53	39	$3000.00	$612.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$200.00	$107.44
66982 Complex removal of cataract with insertion of prosthetic lens	32	27	$3000.00	$776.44
67904 Repair of tendon of upper eyelid	18	18	$3888.89	$799.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$100.00	$43.74
92082 Exam of visual field with intermediate testing	14	14	$125.00	$49.28
76514 Ultrasound scan of cornea to determine thickness	11	11	$50.00	$13.36

Medical Specialties & State Licenses

CMS Verified: 2024-12-12

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G41135

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

00G411350 (CA)

Medicaid State Provider ID

ZZZ37940Z (CA)

Hospital & Practice Group Affiliations

California Retina Associates, Lp

835 3rd Ave, Chula Vista, CA 919111352

Phone: 6194257755257755

North County Eye Center, Inc.

225 E 2nd Ave, Escondido, CA 920254202

Phone: 7607389985

North County Eye Physicians, Inc

15706 Pomerado Rd, Poway, CA 920642032

Phone: 8584518600

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 05, 2024

Registered at 1212 SKYLARK DR, LA JOLLA, CA 920377738 (Tel: 6617170237)

📍

Updated Business Mailing Address December 05, 2024

Registered at 1212 SKYLARK DR, LA JOLLA, CA 920377738 (Tel: 6617170237)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 215 CHINA GRADE LOOP, BAKERSFIELD, CA 933081707 (Tel: 6613932331)

📍

Updated Business Mailing Address July 08, 2007

Registered at 215 CHINA GRADE LOOP, BAKERSFIELD, CA 933081707 (Tel: 6613932331)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY STAINER, MD FACS

🎓

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

Ophthalmology (License #G41135 in CA)

🟢

Initial NPI Registration & Enumeration September 02, 2005

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: 1295729465

Entity Type:

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

Enumeration Date: September 02, 2005

Last Update: December 12, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1212 Skylark Dr

La Jolla, CA 920377738

Phone: 6617170237

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.