Deactivated NPI 1639109101 Deactivated / Inactive NPI Male Practitioner

Dr. Boban Abraham Joseph , MD

Ophthalmology • Pasadena, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Boban Joseph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2006

NPI Deactivation Date September 11, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Boban Joseph, MD was a registered Ophthalmology practicing in Pasadena, CA. Throughout an active medical career spanning 18 years, Dr. Joseph provided care at the practice location at 50 ALESSANDRO PLACE until profile deactivation on 2024-09-11.

Historical Medicare Part B clinical services included imaging of retina, extended exam of the back part of the eye with optic nerve drawing, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

50 Alessandro Place
Suite 210

Pasadena, CA 911053149

Telephone 6264409920

Fax 6264400351

Associated Practice Facility / Clinic

🏢 Edward Baker Merchant, Md, Inc Facility NPI 1588677108

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pasadena, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

41 Specialists

Practicing in Pasadena, CA (3116 Statewide)

Telehealth Adoption Rate

2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.0% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	531	291	$75.00	$42.51
92202 Extended exam of the back part of the eye with optic nerve drawing	496	291	$50.00	$16.85
92014 Established patient complete exam of visual system	491	276	$150.00	$141.40
92081 Exam of visual field with limited testing	361	242	$95.00	$37.49
67028 Injection of drug into eye	38	16	$500.00	$124.06
J9035 Injection, bevacizumab, 10 mg	37	16	$100.00	$70.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$260.00	$179.90
92201 Extended exam of the back part of the eye with retinal drawing	17	17	$50.00	$26.79
92235 Exam of retinal blood vessels using a special camera after injection of a dye	16	15	$170.00	$157.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	676	325	$75.00	$43.14
92014 Established patient complete exam of visual system	646	320	$150.00	$142.56
92202 Extended exam of the back part of the eye with optic nerve drawing	596	318	$50.00	$17.25
92081 Exam of visual field with limited testing	421	256	$95.00	$37.42
67028 Injection of drug into eye	64	30	$500.00	$125.18
92235 Exam of retinal blood vessels using a special camera after injection of a dye	55	43	$170.00	$145.19
J9035 Injection, bevacizumab, 10 mg	47	24	$100.00	$68.46
92201 Extended exam of the back part of the eye with retinal drawing	37	34	$50.00	$27.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$260.00	$182.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,022	555	$469.04	$144.64
92134 Imaging of retina	1,011	523	$167.48	$44.34
92202 Extended exam of the back part of the eye with optic nerve drawing	492	287	$50.00	$17.71
92081 Exam of visual field with limited testing	329	216	$95.00	$38.78
92083 Exam of visual field with extended testing	320	219	$445.00	$73.18
67028 Injection of drug into eye	167	54	$691.59	$128.46
J0178 Injection, aflibercept, 1 mg	132	19	$2619.17	$918.99
92201 Extended exam of the back part of the eye with retinal drawing	48	42	$50.00	$27.67
92235 Exam of retinal blood vessels using a special camera after injection of a dye	42	35	$192.14	$137.82
J9035 Injection, bevacizumab, 10 mg	40	20	$100.00	$72.23
J7999 Compounded drug, not otherwise classified	30	17	$210.00	$94.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$260.00	$186.29
92004 New patient complete exam of visual system	17	17	$1005.00	$171.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,115	636	$112.69	$44.63
92014 Established patient complete exam of visual system	1,053	634	$272.95	$142.94
92202 Extended exam of the back part of the eye with optic nerve drawing	762	517	$50.00	$17.65
92081 Exam of visual field with limited testing	341	286	$95.00	$38.30
67028 Injection of drug into eye	184	61	$583.64	$113.07
92083 Exam of visual field with extended testing	146	132	$445.00	$72.93
J0178 Injection, aflibercept, 1 mg	140	19	$1861.43	$930.78
92201 Extended exam of the back part of the eye with retinal drawing	136	121	$50.00	$27.66
J7999 Compounded drug, not otherwise classified	80	42	$130.00	$93.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$260.00	$177.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$858.00	$121.74
92235 Exam of retinal blood vessels using a special camera after injection of a dye	16	16	$170.00	$120.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	2,607	638	$50.00	$28.39
92134 Imaging of retina	1,367	656	$75.00	$44.04
92014 Established patient complete exam of visual system	1,294	633	$150.09	$141.91
92081 Exam of visual field with limited testing	759	506	$95.00	$38.37
92225 Examination of eye by ophthalmoscope with retinal drawing	225	116	$60.00	$30.75
67028 Injection of drug into eye	194	57	$500.00	$112.44
J7999 Compounded drug, not otherwise classified	130	49	$100.00	$83.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$260.00	$177.89
92235 Exam of retinal blood vessels using a special camera after injection of a dye	41	34	$170.00	$104.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	2,881	669	$50.00	$26.94
92134 Imaging of retina	1,461	681	$75.00	$43.09
92014 Established patient complete exam of visual system	1,397	659	$150.00	$136.56
92081 Exam of visual field with limited testing	765	515	$95.00	$37.71
92225 Examination of eye by ophthalmoscope with retinal drawing	232	119	$60.00	$28.80
67028 Injection of drug into eye	178	59	$500.00	$108.99
J7999 Compounded drug, not otherwise classified	129	52	$100.00	$76.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$260.00	$173.45
92235 Exam of retinal blood vessels using a special camera after injection of a dye	83	72	$170.00	$94.97
67041 Removal of membrane from the retina	12	12	$5850.00	$1235.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	3,160	700	$48.69	$27.17
92014 Established patient complete exam of visual system	1,544	698	$140.00	$136.57
92134 Imaging of retina	1,499	694	$75.00	$43.15
92081 Exam of visual field with limited testing	877	546	$95.00	$37.83
92225 Examination of eye by ophthalmoscope with retinal drawing	184	95	$58.86	$29.61
67028 Injection of drug into eye	169	61	$500.00	$111.69
92235 Exam of retinal blood vessels using a special camera after injection of a dye	162	119	$170.00	$91.05
J7999 Compounded drug, not otherwise classified	138	56	$100.00	$72.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$260.00	$178.23
92250 Photography of the retina	71	64	$95.00	$74.80

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A32523

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. Lawrence Kondra , MD

Ophthalmology

NPI 1821013467

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

⚠️

NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2024

Ophthalmology (License #A32523 in CA)

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Updated Practice Location September 14, 2020

Registered at 625 S FAIR OAKS AVE STE 280, PASADENA, CA 911052670 (Tel: 6268174747)

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Updated Business Mailing Address September 14, 2020

Registered at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 900455631

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Updated Practice Location March 27, 2018

Registered at 800 FAIRMOUNT AVE STE 120, PASADENA, CA 911053151 (Tel: 6264409920)

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Updated Business Mailing Address March 27, 2018

Registered at 800 FAIRMOUNT AVE STE 120, PASADENA, CA 911053151 (Tel: 6264409920)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 50 ALESSANDRO PLACE, SUITE 210, PASADENA, CA 911053149 (Tel: 6264409920)

📍

Updated Business Mailing Address July 08, 2007

Registered at 50 ALESSANDRO PLACE, SUITE 210, PASADENA, CA 911053149 (Tel: 6264409920)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BOBAN JOSEPH, MD

🎓

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

Ophthalmology (License #A32523 in CA)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1639109101

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: July 08, 2007

Deactivation Date: September 11, 2024

Update or Correct Profile

Mailing Address

50 Alessandro Place, Suite 210

Pasadena, CA 911053149

Phone: 6264409920

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.