Pacific Eye Institute a Medical Group Inc
NPI 1407932619 · Ambulatory Surgical Clinic/Center · Upland, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Eye Institute a Medical Group Inc is a Ambulatory Surgical Clinic/Center organization in Upland, CA (NPI 1407932619).
Provider details
- NPI number
- 1407932619
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richmond Roeske, Physician/Owner(800) 345-8979
- License
- 240000525 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,467 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 620 | $1,278 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 419 | $326 |
| Laser Repair to Improve Eye Fluid Flow65855 | 80 | $148 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 77 | $1,260 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 75 | $4,108 |
| Dilation of Fluid Outflow Drainage Within Eye66174 | 69 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Pacific Eye Institute Ambulatory Surgery Ctr
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Pacific Eye Institute a Medical Group Inc's NPI number?
- Pacific Eye Institute a Medical Group Inc's National Provider Identifier (NPI) is 1407932619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Eye Institute a Medical Group Inc?
- Pacific Eye Institute a Medical Group Inc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pacific Eye Institute a Medical Group Inc located?
- Pacific Eye Institute a Medical Group Inc's practice location on file with NPPES is 555 N 13th Ave, Upland, CA 91786-4904.
- What is Pacific Eye Institute a Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Pacific Eye Institute a Medical Group Inc is (909) 982-8846.
- Does Pacific Eye Institute a Medical Group Inc accept Medicare?
- Pacific Eye Institute a Medical Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Eye Institute a Medical Group Inc?
- The authorized official listed on Pacific Eye Institute a Medical Group Inc's NPPES record is Richmond Roeske, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Eye Institute a Medical Group Inc's NPI active?
- Yes — Pacific Eye Institute a Medical Group Inc's NPI (1407932619) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.