Active NPI 1720157142 Individual Practitioner Male Practitioner

Dr. Michael Henry Goldbaum , MD

Ophthalmology • La Jolla, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Goldbaum, MD is a certified Ophthalmology practicing in La Jolla, CA. With approximately 61 years of clinical experience since graduating from Tulane University School Of Medicine in 1965, Dr. Goldbaum delivers high-quality medical care to the local community at 9415 CAMPUS POINT DR.

Dr. Goldbaum is affiliated with Regents Of The University Of California and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9415 Campus Point Dr

La Jolla, CA 920371350

Telephone 8585343516

Fax 8585347425

Associated Practice Facility / Clinic

🏢 Regents Of The University Of Uc Facility NPI 1003001439

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1965

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

61 Yrs +32.0 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

80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goldbaum (61 Years) 61 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
J2777 Injection, faricimab-svoa, 0.1 mg	4,380	27	$147.00	$34.67
92134 Imaging of retina	386	217	$204.47	$43.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	210	$401.76	$136.68
92202 Extended exam of the back part of the eye with optic nerve drawing	268	188	$71.88	$16.30
67028 Injection of drug into eye	103	43	$900.40	$131.40
J0178 Injection, aflibercept, 1 mg	50	14	$3652.00	$826.64
76512 Ultrasound of eye disease, growth, or structure	16	15	$459.88	$52.14
76513 Ultrasound scan of eye using water bath method	16	15	$844.19	$84.24
92285 Photography of content of eyes	15	15	$160.47	$23.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,720	18	$90.00	$36.55
92134 Imaging of retina	491	249	$204.00	$43.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	229	$369.00	$136.92
92202 Extended exam of the back part of the eye with optic nerve drawing	368	226	$70.00	$16.62
67028 Injection of drug into eye	122	46	$908.61	$136.36
J0178 Injection, aflibercept, 1 mg	120	20	$3652.00	$871.96
76512 Ultrasound of eye disease, growth, or structure	50	25	$468.60	$52.54
J7999 Compounded drug, not otherwise classified	23	11	$216.00	$92.50
92285 Photography of content of eyes	20	17	$151.00	$25.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	497	257	$204.00	$44.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	250	$369.00	$138.60
92202 Extended exam of the back part of the eye with optic nerve drawing	347	229	$70.00	$17.03
J0178 Injection, aflibercept, 1 mg	219	37	$2878.22	$905.84
67028 Injection of drug into eye	108	44	$821.11	$128.82
76512 Ultrasound of eye disease, growth, or structure	53	31	$482.26	$52.74
92201 Extended exam of the back part of the eye with retinal drawing	50	44	$109.00	$26.46
92285 Photography of content of eyes	20	19	$151.00	$25.96
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$241.00	$80.00
92083 Exam of visual field with extended testing	12	12	$393.00	$70.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	568	290	$173.49	$44.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	269	$350.37	$140.27
92202 Extended exam of the back part of the eye with optic nerve drawing	408	267	$62.73	$17.20
J0178 Injection, aflibercept, 1 mg	326	46	$2726.00	$918.86
67028 Injection of drug into eye	155	53	$711.61	$135.12
76512 Ultrasound of eye disease, growth, or structure	58	38	$406.26	$53.65
92201 Extended exam of the back part of the eye with retinal drawing	34	34	$88.29	$26.86
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$237.13	$79.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$543.00	$195.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$142.00	$61.51
92285 Photography of content of eyes	14	13	$144.57	$25.88
92014 Established patient complete exam of visual system	13	13	$390.00	$140.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	474	243	$147.00	$44.30
92201 Extended exam of the back part of the eye with retinal drawing	314	220	$87.00	$26.91
J0178 Injection, aflibercept, 1 mg	312	53	$2726.00	$930.93
92014 Established patient complete exam of visual system	204	152	$390.00	$138.56
67028 Injection of drug into eye	163	61	$551.89	$113.48
92012 Established patient problem focused exam of visual system	90	80	$270.00	$95.44
92202 Extended exam of the back part of the eye with optic nerve drawing	87	80	$56.00	$17.23
99213 Established patient office or other outpatient visit, typically 15 minutes	83	78	$228.00	$80.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$334.00	$113.93
76512 Ultrasound of eye disease, growth, or structure	30	22	$324.50	$57.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$137.00	$49.21
92004 New patient complete exam of visual system	16	16	$468.00	$164.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	794	295	$79.00	$27.56
92134 Imaging of retina	606	303	$135.94	$44.38
92012 Established patient problem focused exam of visual system	337	229	$270.00	$95.78
J0178 Injection, aflibercept, 1 mg	311	50	$2726.00	$943.23
92014 Established patient complete exam of visual system	194	158	$390.00	$137.40
67028 Injection of drug into eye	189	60	$534.78	$111.69
92225 Examination of eye by ophthalmoscope with retinal drawing	80	43	$85.00	$29.10
92004 New patient complete exam of visual system	28	28	$468.00	$158.06
76512 Ultrasound of eye disease, growth, or structure	26	22	$295.00	$66.27
J7999 Compounded drug, not otherwise classified	24	11	$142.33	$82.96
92285 Photography of content of eyes	17	16	$121.00	$20.33
92250 Photography of the retina	14	14	$229.00	$55.21
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$5429.00	$881.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	723	259	$79.00	$25.80
92134 Imaging of retina	521	257	$135.93	$42.81
J0178 Injection, aflibercept, 1 mg	365	62	$2726.00	$953.48
92012 Established patient problem focused exam of visual system	253	181	$270.00	$90.40
67028 Injection of drug into eye	219	74	$528.80	$106.31
92014 Established patient complete exam of visual system	146	119	$390.00	$128.77
92225 Examination of eye by ophthalmoscope with retinal drawing	105	57	$85.00	$27.94
92004 New patient complete exam of visual system	40	40	$468.00	$155.51
J7999 Compounded drug, not otherwise classified	30	12	$80.00	$76.67
76512 Ultrasound of eye disease, growth, or structure	28	25	$295.00	$78.25
92250 Photography of the retina	22	22	$229.00	$59.92
92285 Photography of content of eyes	14	13	$121.00	$20.79
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	12	12	$866.00	$242.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	1,031	326	$76.67	$25.17
92134 Imaging of retina	603	317	$127.48	$41.63
J0178 Injection, aflibercept, 1 mg	392	66	$2071.85	$962.78
92012 Established patient problem focused exam of visual system	322	210	$205.43	$86.85
92014 Established patient complete exam of visual system	282	193	$236.64	$126.11
67028 Injection of drug into eye	249	89	$711.71	$107.16
92225 Examination of eye by ophthalmoscope with retinal drawing	144	74	$81.88	$27.34
J7999 Compounded drug, not otherwise classified	63	26	$80.00	$72.94
92250 Photography of the retina	54	48	$231.50	$68.16
92004 New patient complete exam of visual system	40	40	$349.00	$148.35
76512 Ultrasound of eye disease, growth, or structure	33	24	$389.42	$93.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$289.00	$108.22
92285 Photography of content of eyes	20	17	$130.00	$20.26

Medical Specialties & State Licenses

CMS Verified: 2020-06-08

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA C32010

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

00C320100 (CA)

Commercial Insurance / Payer ID Railroad

180016079

Hospital & Practice Group Affiliations

Regents Of The University Of California

200 W Arbor Dr, San Diego, CA 921031911

Phone: 8582496753

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Henry Ferreyra , MD

Ophthalmology

NPI 1669497822

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 08, 2020

Registered at PO BOX 232410, SAN DIEGO, CA 921932410

✅

NPI Profile Active January 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2013

Registered at 9415 CAMPUS POINT DR, LA JOLLA, CA 920371350 (Tel: 8585343516)

📍

Updated Business Mailing Address January 30, 2013

Registered at 8435 CLIFFRIDGE LN, LA JOLLA, CA 920372119 (Tel: 8585343516)

👤

Provider Name / Credentials Updated January 30, 2013

Recorded as MICHAEL GOLDBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2013

Ophthalmology (License #C32010 in CA)

🟢

Initial NPI Registration & Enumeration November 07, 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: 1720157142

Entity Type:

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

Enumeration Date: November 07, 2006

Last Update: June 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 232410

San Diego, CA 921932410

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.