DR. JOSE IVAN QUICENO (M.D.) – Ophthalmology Physician, NPI 1093707580

DR. JOSE IVAN QUICENO (M.D.) is a healthcare provider. based in Chula vista, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. A53660 (CA). The NPI Number for DR. JOSE IVAN QUICENO (M.D.) is 1093707580

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSE IVAN QUICENO (M.D.)
NPI
1093707580
Phone
(619) 426-3400
Address
865 3RD AVE
Enumeration Date
19 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
4082669155
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20050322000526
Address ID
CA920245156EN326XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for DR. JOSE IVAN QUICENO (M.D.)

  • 3rd Avenue, Otay, Chula Vista, San Diego County, California, 91911, United States

    SUITE 121

    CHULA VISTA, CA 919111300

    Phone: (619) 426-3400

    Type: Mailing

  • Torrey Pines Road, Village of La Jolla, La Jolla, San Diego, San Diego County, California, 92037, United States

    SCMG DIVISION OF OPHTHALMOLOGY

    LA JOLLA, CA 920371027

    Phone: (858) 554-9108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $3,039.

Total Amount is formed as General ($3,039) + Research ($0) + Ownership ($0) = $3,039.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,022).

Total Amount

$3,039

General + Research + Ownership

Payments

55

Total payment records

General Amount

$3,039

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050322000526IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes480455$0
99213Established patient office or other outpatient visit, 20-29 minutes269232$0
92134Imaging of retina254242$0
99204New patient office or other outpatient visit, 45-59 minutes239239$0
66984Removal of cataract with insertion of prosthetic lens232139$0
View full utilization report →

Insurance plans in this area (ZIP 91911)

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Provider's Procedures

DR. JOSE IVAN QUICENO (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92083Measurement of field of vision during daylight conditions6154

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

What identifier follows DR. JOSE IVAN QUICENO (M.D.) across health systems?
The NPI 1093707580 uniquely identifies DR. JOSE IVAN QUICENO (M.D.) in U.S. healthcare data.
Is DR. JOSE IVAN QUICENO (M.D.)'s NPI status active today?
Active status means DR. JOSE IVAN QUICENO (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. JOSE IVAN QUICENO (M.D.) does?
Insurance directories may phrase it differently, but here DR. JOSE IVAN QUICENO (M.D.) maps to Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOSE IVAN QUICENO (M.D.) tied to Chula Vista, California?
If you are local to Chula Vista, California, DR. JOSE IVAN QUICENO (M.D.) may be relevant to your search.
Can I export DR. JOSE IVAN QUICENO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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