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Larry Fabian, OD

Optometry · San Jose

NPI 1104880129

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
4 carriers
Office
1

Offices

1 location · Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente · 4 clinicians in this group

Looking this up.

Plans that list them

9 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Fabian’s office at (408) 264-1555 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Original Medicare doctor bills

$19,001

Medicare paid this office $19,001 for 106 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)53$5,587$81
Established patient complete exam of visual system49$4,802$98
Exam of visual field with extended testing49$3,768$58
Photography of the retina59$1,741$30
Imaging of optic nerve39$1,207$28
See all 7 services
Every Original Medicare service billed
Short return visit (20+ min)53$5,587$81
Established patient complete exam of visual system49$4,802$98
Exam of visual field with extended testing49$3,768$58
Photography of the retina59$1,741$30
Imaging of optic nerve39$1,207$28
Imaging of retina17$566$31
Ultrasound scan of cornea to determine thickness11$92$8

Who their Medicare patients are

106 Original Medicare patients in 2024. Average age 74 · Women 59% · Health risk score 0.71. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 67% · Coronary heart disease 23% · Cancer 18% · Diabetes 17% · Chronic kidney disease 15% · Atrial fibrillation 11% · Depression 11%.

The office billed $55,122, Medicare allowed $28,524 and paid $19,001; for 335 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024106335740.71$55,122$19,001
2023106271740.68$44,958$16,315
2022112302740.64$46,007$18,619
202196261740.61$40,238$15,748
202089237730.67$34,761$13,439
2019108334740.80$48,764$18,989
201888236740.85$34,076$12,926
201784251720.66$35,963$12,773
201672224730.62$32,728$12,068
201559184740.66$27,763$10,801
201464151750.74$22,212$9,716
201352130750.93$17,652$9,017

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Established patient complete exam of visual system63$6,879$106
Short return visit (20+ min)37$3,174$76
Exam of visual field with extended testing37$2,387$54
Photography of the retina67$2,225$32
Imaging of optic nerve26$727$26
Imaging of retina15$447$30

2022: 6 services

Original Medicare services billed in 2022
Established patient complete exam of visual system53$5,410$102
Short return visit (20+ min)52$4,727$79
Exam of visual field with extended testing44$3,068$59
Photography of the retina61$2,002$33
Imaging of optic nerve33$1,100$30
Imaging of retina16$525$33

2021: 5 services

Original Medicare services billed in 2021
Established patient complete exam of visual system53$5,518$104
Short return visit (20+ min)34$3,510$76
Photography of the retina61$2,147$35
Exam of visual field with extended testing30$1,961$50
Imaging of optic nerve28$835$26

2020: 5 services

Original Medicare services billed in 2020
Established patient complete exam of visual system45$4,416$98
Short return visit (20+ min)35$2,825$64
Exam of visual field with extended testing33$2,292$55
Photography of the retina43$1,499$34
Imaging of optic nerve27$925$30

2019: 6 services

Original Medicare services billed in 2019
Established patient complete exam of visual system58$5,857$101
Short return visit (20+ min)56$4,414$61
Exam of visual field with extended testing43$3,236$57
Photography of the retina66$2,690$40
Imaging of optic nerve35$1,145$27
Imaging of retina14$489$33

2018: 6 services

Original Medicare services billed in 2018
Established patient complete exam of visual system44$4,514$103
Short return visit (20+ min)46$3,171$56
Exam of visual field with extended testing35$2,106$48
Photography of the retina39$1,220$31
Imaging of retina15$554$33
Imaging of optic nerve20$471$21

2017: 6 services

Original Medicare services billed in 2017
Established patient complete exam of visual system37$3,707$98
Short return visit (20+ min)43$3,326$55
Exam of visual field with extended testing43$2,797$51
Photography of the retina31$1,090$34
Imaging of optic nerve30$745$23
Imaging of retina14$520$33

2016: 6 services

Original Medicare services billed in 2016
Short return visit (20+ min)38$3,133$59
Established patient complete exam of visual system31$2,852$89
Exam of visual field with extended testing40$2,713$57
Photography of the retina24$972$41
Imaging of optic nerve22$765$33
Imaging of retina17$456$27

2015: 5 services

Original Medicare services billed in 2015
Short return visit (20+ min)31$3,699$66
Established patient complete exam of visual system27$2,526$94
Exam of visual field with extended testing29$2,242$56
Imaging of optic nerve19$725$35
Imaging of retina11$441$34

2014: 5 services

Original Medicare services billed in 2014
Established patient complete exam of visual system32$3,441$104
Short return visit (20+ min)32$2,352$62
Exam of visual field with extended testing24$1,488$57
Photography of the retina16$699$44
Imaging of optic nerve13$514$37

2013: 4 services

Original Medicare services billed in 2013
Established patient complete exam of visual system30$3,362$112
Short return visit (20+ min)21$1,881$63
Exam of visual field with extended testing14$971$65
Imaging of optic nerve11$440$37

Drugs they prescribed that Part D paid

$1,869

Pharmacies billed $1,869 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 43) in 2024. Too few prescriptions to compare fairly with other clinicians.

0 generic and 36 brand-name prescriptions · $1,869 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Latanoprost32$754$24

Year by year

Part D prescribing by year
202443150% (0)84%$1,869
202352160% (0)75%$3,542
202256190% (0)66%$4,176
202124None0% (0)None$1,946
202018None0% (0)None$1,017
201928120% (0)79%$7,143
201830120% (0)80%$7,126
201723None0% (0)61%$6,169
201618None0% (0)83%$5,763
201521120% (0)90%$3,566
201412None0% (0)None$491

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Latanoprost45$1,160$26

2022: 1 drug

Part D drugs prescribed in 2022
Latanoprost45$1,184$26

2021: 1 drug

Part D drugs prescribed in 2021
Latanoprost16$177$11

2020: 1 drug

Part D drugs prescribed in 2020
Latanoprost11$316$29

2018: 1 drug

Part D drugs prescribed in 2018
Latanoprost12$458$38

Money from drug and device companies

$39 in 2025

Industry payments by year
202512None$39
202233None$75
202111None$21
202022None$30
201911None$15

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
CooperVisionMisight Contact Lens$39
2 payments
  • Meals for Misight Contact Lens · 2025-01-21 · $15
  • Meals for Misight Contact Lens · 2025-01-21 · $24
See all 2 published payments
Every published payment
CooperVisionMeals · 2025-01-21Misight Contact Lens$15
CooperVisionMeals · 2025-01-21Misight Contact Lens$24
See earlier years (2022, 2021, 2020, 2019)

2022: $75

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$28
1 payment
  • Meals for Acuvue · 2022-09-06 · $28
AbbvieVuity$24
1 payment
  • Meals for Vuity · 2022-05-27 · $24
Alcon VisionTotal30$22
1 payment
  • Meals for Total30 · 2022-03-30 · $22

2021: $21

Payments by company in 2021
Alcon VisionPrecision 1$21
1 payment
  • Meals for Precision 1 · 2021-02-19 · $21

2020: $30

Payments by company in 2020
CooperVisionMisight Contact Lens$19
1 payment
  • Meals for Misight Contact Lens · 2020-09-03 · $19
ABB Con-Cise Optical GroupContact Lens$11
1 payment
  • Meals for Contact Lens · 2020-01-29 · $11

2019: $15

Payments by company in 2019
Alcon VisionDailies$15
1 payment
  • Meals for Dailies · 2019-06-27 · $15

Professional record

NPI
1104880129
Licence
CA OPT 6909 TPL
Trained
Southern California College of Optometry, 1980
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
18660 Vista De Almaden, San Jose, CA, 95120
NPI first listed
2006-04-14
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.