Active NPI 1306224456 Individual Practitioner Male Practitioner

Dr. Nathan J Abraham , MD

Ophthalmology • Valencia, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Abraham, MD is a certified Ophthalmology practicing in Valencia, CA. With approximately 12 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2014, Dr. Abraham delivers high-quality medical care to the local community at 23501 CINEMA DR STE 116.

Dr. Abraham accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, closure of tear duct opening using plug. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

23501 Cinema Dr Ste 116

Valencia, CA 913555429

Telephone 6619777377

Fax 6614257287

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Valencia, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -6.7 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Valencia, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abraham (12 Years) 12 Yrs

Valencia Specialty Average (18.7 Years) 18.7 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	654	266	$842.70	$137.70
92250 Photography of the retina	316	213	$249.63	$38.08
68761 Closure of tear duct opening using plug	238	77	$986.15	$117.49
92083 Exam of visual field with extended testing	195	120	$434.36	$70.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	195	195	$1089.00	$179.25
92025 Ct scan of cornea	195	149	$246.38	$36.86
66821 Removal of recurring cataract in lens capsule using a laser	154	88	$2253.50	$367.25
92136 Measurement of corneal curvature and depth of eye	145	112	$316.61	$51.42
66984 Removal of cataract with insertion of lens	98	60	$3562.69	$530.79
92134 Imaging of retina	94	72	$271.56	$42.95
76514 Ultrasound scan of cornea to determine thickness	61	56	$74.52	$11.40
92020 Examination of cornea and iris using lens device and slit lamp	53	53	$182.51	$29.95
99213 Established patient office or other outpatient visit, typically 15 minutes	42	30	$598.69	$98.55
65855 Laser repair to improve eye fluid flow	20	11	$1613.36	$264.89
65820 Incision to improve eye fluid flow	18	11	$5496.13	$901.36

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	482	172	$844.63	$138.80
92250 Photography of the retina	166	125	$253.82	$38.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$1092.67	$179.99
92025 Ct scan of cornea	133	103	$247.94	$37.41
92083 Exam of visual field with extended testing	127	88	$431.56	$70.94
92134 Imaging of retina	98	79	$274.10	$43.73
68761 Closure of tear duct opening using plug	95	37	$998.38	$123.12
92136 Measurement of corneal curvature and depth of eye	85	63	$319.86	$51.54
92020 Examination of cornea and iris using lens device and slit lamp	60	59	$185.59	$30.53
76514 Ultrasound scan of cornea to determine thickness	55	55	$75.88	$11.64
66821 Removal of recurring cataract in lens capsule using a laser	45	26	$2262.12	$370.99
66984 Removal of cataract with insertion of lens	44	29	$3587.86	$589.22
66982 Complex removal of cataract with insertion of prosthetic lens	35	22	$4910.22	$448.66
65820 Incision to improve eye fluid flow	31	19	$5564.88	$912.70
65855 Laser repair to improve eye fluid flow	23	14	$1640.52	$269.33

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	213	83	$853.86	$142.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$1106.10	$184.80
92250 Photography of the retina	106	88	$253.62	$39.46
68761 Closure of tear duct opening using plug	93	38	$1013.88	$127.59
92025 Ct scan of cornea	87	73	$247.62	$38.13
92136 Measurement of corneal curvature and depth of eye	57	46	$340.20	$56.12
92134 Imaging of retina	48	42	$276.72	$44.71
92083 Exam of visual field with extended testing	48	45	$433.98	$72.50
76514 Ultrasound scan of cornea to determine thickness	44	42	$77.52	$12.10
92020 Examination of cornea and iris using lens device and slit lamp	44	40	$189.42	$31.69
66984 Removal of cataract with insertion of lens	30	17	$3597.72	$575.59
65855 Laser repair to improve eye fluid flow	24	14	$1652.64	$271.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92025 Ct scan of cornea	47	45	$252.18	$39.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	22	$861.66	$145.32
68761 Closure of tear duct opening using plug	46	23	$1029.66	$127.46
92250 Photography of the retina	41	37	$268.08	$42.99
92004 New patient complete exam of visual system	37	37	$1022.22	$172.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$1104.29	$186.86
92134 Imaging of retina	19	18	$279.00	$44.66
92136 Measurement of corneal curvature and depth of eye	19	16	$375.00	$62.32
92083 Exam of visual field with extended testing	15	14	$437.58	$73.79
76514 Ultrasound scan of cornea to determine thickness	15	15	$77.71	$11.58
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$188.52	$31.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	94	47	$225.00	$30.30
99213 Established patient office or other outpatient visit, typically 15 minutes	79	56	$125.00	$51.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$457.37	$128.64
66984 Removal of cataract with insertion of lens	71	47	$5490.00	$531.98
92134 Imaging of retina	42	41	$220.00	$24.84
92020 Examination of cornea and iris using lens device and slit lamp	28	25	$130.00	$20.59
92133 Imaging of optic nerve	28	28	$220.00	$22.07
92025 Ct scan of cornea	26	24	$94.00	$19.08
92083 Exam of visual field with extended testing	23	23	$210.00	$27.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$201.90	$78.89
76514 Ultrasound scan of cornea to determine thickness	17	16	$99.00	$8.10
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$7130.00	$736.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	173	86	$580.00	$98.15
92136 Measurement of corneal curvature and depth of eye	48	24	$210.00	$30.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$426.67	$125.25
99213 Established patient office or other outpatient visit, typically 15 minutes	36	19	$141.56	$52.16
92071 Fitting of contact lens for treatment of eye surface disease	34	20	$250.00	$41.51
92134 Imaging of retina	15	15	$219.33	$27.25
92025 Ct scan of cornea	13	13	$102.15	$21.48
92133 Imaging of optic nerve	13	13	$213.46	$23.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$211.67	$77.69
92083 Exam of visual field with extended testing	11	11	$200.00	$27.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	160	79	$580.00	$98.45
92071 Fitting of contact lens for treatment of eye surface disease	47	20	$252.66	$41.42
92002 New patient problem focused exam of visual system	11	11	$570.00	$93.80

Medical Specialties & State Licenses

CMS Verified: 2021-09-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA A155286

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.

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location July 25, 2023

Registered at 23501 CINEMA DR STE 116, VALENCIA, CA 913555429 (Tel: 6619777377)

📍

Updated Business Mailing Address July 25, 2023

Registered at 23501 CINEMA DR STE 116, VALENCIA, CA 913555429 (Tel: 6619777377)

📍

Updated Practice Location May 02, 2020

Registered at 24305 TOWN CENTER DR, STE 160, VALENCIA, CA 913551347 (Tel: 6617997464)

📍

Updated Business Mailing Address May 02, 2020

Registered at 24305 TOWN CENTER DR, STE 160, VALENCIA, CA 913551347 (Tel: 6617997464)

📍

Updated Practice Location August 09, 2018

Registered at 200 STEIN PLAZA 1-340, LOS ANGELES, CA 900950001 (Tel: 3108253090)

📍

Updated Business Mailing Address August 09, 2018

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

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Ophthalmology (License #A155286 in CA)

✅

NPI Profile Active May 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2015

Registered at 2041 GEORGIA AVE NW, WASHINGTON, DC 200600001 (Tel: 2028656100)

📍

Updated Business Mailing Address May 09, 2015

Registered at 2041 GEORGIA AVE NW, WASHINGTON, DC 200600001 (Tel: 2028656100)

👤

Provider Name / Credentials Updated May 09, 2015

Recorded as NATHAN ABRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 09, 2015

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: 1306224456

Entity Type:

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

Enumeration Date: May 09, 2015

Last Update: July 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

23501 Cinema Dr Ste 116

Valencia, CA 913555429

Phone: 6619777377

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.