Skip to main content
UniHealth

Doctor search

Jeffrey M Fanelli, OD

Optometry · San Jose

NPI 1831153881

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. Fanelli’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

$11,638

Medicare paid this office $11,638 for 85 people.

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

Largest Original Medicare bills
Established patient complete exam of visual system62$6,065$98
Short return visit (20+ min)25$1,936$72
Photography of the retina60$1,799$30
Exam of visual field with extended testing19$1,080$49
Imaging of optic nerve11$211$18

Who their Medicare patients are

85 Original Medicare patients in 2024. Average age 74 · Women 56% · Also on Medicaid 0% · Health risk score 0.72. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 59% · Coronary heart disease 15% · Diabetes 13% · Cancer 13%.

The office billed $33,130, Medicare allowed $18,899 and paid $11,638; for 197 services of 10 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
202485197740.72$33,130$11,638
202394202740.63$32,683$12,452
2022103221740.79$33,055$14,852
202187176740.72$26,549$12,460
202076139740.78$20,283$9,094
201990191740.92$27,953$13,242
201887166740.77$23,161$10,860
201764119730.75$17,323$7,264
20166193740.88$15,734$6,751
20155684730.75$13,865$6,514
20144881740.63$12,636$5,905
201367105760.98$15,443$8,591

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: 3 services

Original Medicare services billed in 2023
Established patient complete exam of visual system73$6,941$95
Photography of the retina82$2,516$31
Exam of visual field with extended testing14$780$56

2022: 4 services

Original Medicare services billed in 2022
Established patient complete exam of visual system72$8,036$112
Photography of the retina75$2,536$33
Short return visit (20+ min)23$1,519$66
Exam of visual field with extended testing15$979$61

2021: 4 services

Original Medicare services billed in 2021
Established patient complete exam of visual system57$6,347$109
Photography of the retina63$2,348$37
Short return visit (20+ min)15$1,318$82
Exam of visual field with extended testing14$763$54

2020: 3 services

Original Medicare services billed in 2020
Established patient complete exam of visual system46$4,764$104
Photography of the retina46$1,566$34
Short return visit (20+ min)16$1,015$56

2019: 5 services

Original Medicare services billed in 2019
Established patient complete exam of visual system56$6,345$113
Photography of the retina53$2,233$42
Short return visit (20+ min)22$1,766$63
Exam of visual field with extended testing17$1,297$65
Imaging of optic nerve14$468$33

2018: 5 services

Original Medicare services billed in 2018
Established patient complete exam of visual system53$5,445$103
Photography of the retina48$1,515$31
Short return visit (20+ min)19$1,333$61
Exam of visual field with extended testing13$677$52
Imaging of optic nerve12$333$28

2017: 3 services

Original Medicare services billed in 2017
Established patient complete exam of visual system32$2,976$93
Short return visit (20+ min)23$1,364$52
Photography of the retina28$915$33

2016: 2 services

Original Medicare services billed in 2016
Established patient complete exam of visual system39$3,802$97
Short return visit (20+ min)20$1,314$63

2015: 2 services

Original Medicare services billed in 2015
Established patient complete exam of visual system37$3,986$102
Short return visit (20+ min)17$1,174$59

2014: 2 services

Original Medicare services billed in 2014
Established patient complete exam of visual system27$2,719$101
Short return visit (20+ min)12$1,010$67

2013: 2 services

Original Medicare services billed in 2013
Established patient complete exam of visual system45$5,027$112
Short return visit (20+ min)13$996$59

Money from drug and device companies

$19 in 2024

Industry payments by year
202411None$19
202312None$121
202222None$55
202112None$30
202022None$22
201912None$35

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
Alcon VisionDailies Total1$19
1 payment
  • Meals for Dailies Total1 · 2024-01-30 · $19
See the published payment
Every published payment
Alcon VisionMeals · 2024-01-30Dailies Total1$19
See earlier years (2023, 2022, 2021, 2020, 2019)

2023: $121

Payments by company in 2023
Alcon VisionDailies Total1$121
2 payments
  • Meals for Dailies Total1 · 2023-12-19 · $98
  • Meals for Dailies Total1 · 2023-08-10 · $23

2022: $55

Payments by company in 2022
Johnson & Johnson Vision CareAcuvue$32
1 payment
  • Meals for Acuvue · 2022-08-03 · $32
Alcon VisionTotal30$22
1 payment
  • Meals for Total30 · 2022-03-30 · $22

2021: $30

Payments by company in 2021
Johnson & Johnson Vision CareAcuvue$30
2 payments
  • Meals for Acuvue · 2021-06-02 · $18
  • Meals for Acuvue · 2021-02-16 · $12

2020: $22

Payments by company in 2020
ABB Con-Cise Optical GroupContact Lens$11
1 payment
  • Meals for Contact Lens · 2020-01-29 · $11
Alcon VisionDailies$11
1 payment
  • Meals for Dailies · 2020-01-08 · $11

2019: $35

Payments by company in 2019
Johnson & Johnson Vision CareAcuvue$35
2 payments
  • Meals for Acuvue · 2019-12-04 · $16
  • Meals for Acuvue · 2019-09-19 · $18

Professional record

NPI
1831153881
Licence
CA OPT 8168 TPL
Trained
Southern California College of Optometry, 1984
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
1412 Arroyo Seco Dr, Campbell, CA, 95008
NPI first listed
2006-04-14
NPI last updated
2011-05-25

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