MICHAEL J CYMBOR OD
NPI 1144217274
Optometrist in State College, PA
Quality Rating: 93.7 out of 100 score
NPI Status: Active since October 04, 2005
Contact Information
428 WINDMERE DR
STE 100
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 234-2015
Fax: (814) 238-5300
- Individual
- Male
- Years of Experience 30
- Optometrist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL CYMBOR
This page provides the complete NPI Profile along with additional information for Michael Cymbor, a provider established in State College, Pennsylvania with a medical specialization in Optometrist and more than 30 years of experience. He graduated from Pennsylvania College Of Optometry in 1996. The healthcare provider is registered in the NPI registry with number 1144217274 assigned on October 2005. The practitioner's primary taxonomy code is 152W00000X with license number OEG000066 (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1144217274
- Provider Name
- MICHAEL J CYMBOR OD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 428 WINDMERE DR STE 100 STATE COLLEGE, PA 16801
- Location Phone
- (814) 234-2015
- Location Fax
- (814) 238-5300
- Mailing Address
- 428 WINDMERE DR STE 100 STATE COLLEGE, PA 16801
- Mailing Phone
- (814) 234-2015
- Mailing Fax
- (814) 238-5300
- Medical School Name
- PENNSYLVANIA COLLEGE OF OPTOMETRY
- Graduation Year
- 1996
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-04-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- OEG000066
- License State
- PA
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- MyBlue Silver HMO? 803 - HMO
- MyBlue Silver HMO? Standard - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Premier Platinum 0 - PPO
- my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Silver 7000 - PPO
- my Blue Access PPO Standard Bronze 7500 - PPO
- my Blue Access PPO Standard Gold 1500 - PPO
- my Blue Access PPO Standard Platinum 0 - PPO
- my Blue Access PPO Standard Silver 5000 - PPO
- my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U68410 | MEDICARE UPIN (02) | ||
| 953088 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Michael Cymbor is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Cymbor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2668548835
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080918000030
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Analysis of substance using immunoassay technique, multiple step method
Established patient complete exam of visual system
Established patient office or other outpatient visit, 20-29 minutes
Evaluation of eye adaptation to light and dark
Exam of visual field with extended testing
Imaging of optic nerve
Imaging of retina
Measurement of corneal pressure
Measurement of retinal and optic nerve function
Microfluid analysis of tears
Photography of the retina
Removal of cataract with insertion of prosthetic lens
Ultrasound scan of cornea to determine thickness
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
This service was performed 120 times for 52 patientsAn established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
This service was performed 222 times for 220 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 299 times for 182 patientsThis procedure checks how your eyes adjust to different light conditions. In a dimly lit room, your eyes are first exposed to bright light. Then, the lights are turned off to see how quickly your eyes adapt to darkness. This helps identify any potential vision problems.
This service was performed 26 times for 26 patientsAn extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
This service was performed 95 times for 83 patientsImaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
This service was performed 127 times for 99 patientsImaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
This service was performed 53 times for 48 patientsMeasurement of corneal pressure, also known as tonometry, is a simple, painless procedure that checks the pressure inside your eye. It's important for detecting conditions like glaucoma. A device gently touches your eye to take the reading, which is usually quick and doesn't cause discomfort.
This service was performed 168 times for 122 patientsThis procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
This service was performed 79 times for 68 patientsMicrofluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
This service was performed 48 times for 15 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 268 times for 238 patientsThis is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
This service was performed 22 times for 18 patientsAn ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
This service was performed 29 times for 29 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $17.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 16801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 93.7 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 87.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 95% | 120 |
| Diabetes: Eye Exam | 100% | 207 |
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 86% | 74 |
| Documentation of Current Medications in the Medical Record | 66% | 2709 |
| Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 97% | 313 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 854 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 854 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 854 |
Reviews for MICHAEL J CYMBOR OD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 1 | 7 | 2 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 1 | 14 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 1 + 1 + 4 + 2 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1144217274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780672113 | FRED H CARLIN OD Individual | Optometrist | 428 WINDMERE DR SUITE 100 STATE COLLEGE, PA 16801 (814) 234-2015 |
| 1023006202 | MICHAEL J TALONE OD Individual | Optometrist | 428 WINDMERE DR SUITE 100 STATE COLLEGE, PA 16801 (814) 234-2015 |
| 1295048536 | DR. ANDREA NICOLE RUSSELL O.D. Individual | Optometrist | 428 WINDMERE DR SUITE 100 STATE COLLEGE, PA 16801 (814) 234-2015 |
| 1245681881 | DR. DUSTIN EDWARD BROWN O.D. Individual | Optometrist | 428 WINDMERE DR STATE COLLEGE, PA 16801 (814) 234-2015 |
| 1598213902 | DR. DURGA ZALLY PHARM. D Individual | Pharmacist (Oncology) | 428 WINDMERE DR STATE COLLEGE, PA 16801 (814) 231-1524 |
| 1831304070 | TLC THE LASER CENTER (PITTSBURGH) LLC Organization | Clinic/Center | 428 WINDMERE DR STE. 100 STATE COLLEGE, PA 16801 (814) 867-1852 |
| 1780340935 | GEISINGER PHARMACY, LLC Organization | Pharmacy | 428 WINDMERE DR STATE COLLEGE, PA 16801 (570) 214-4057 |
| 1619071131 | NITTANY EYE ASSOCIATES LTD Organization | Optometrist | 428 WINDMERE DR SUITE 100 STATE COLLEGE, PA 16801 (814) 234-2015 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144217274, enumerated in the NPI registry as an "individual" on October 04, 2005
The provider is located at 428 Windmere Dr Ste 100 State College, Pa 16801 and the phone number is (814) 234-2015
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider has more than 30 years of experience. He graduated from Pennsylvania College Of Optometry in 1996.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: Closing the Referral Loop: Receipt of Specialist Report, Diabetes: Eye Exam, Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care, Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Analysis of substance using immunoassay technique, multiple step method, Established patient complete exam of visual system, Established patient office or other outpatient visit, 20-29 minutes, Evaluation of eye adaptation to light and dark, Exam of visual field with extended testing, Imaging of optic nerve, Imaging of retina, Measurement of corneal pressure, Measurement of retinal and optic nerve function, Microfluid analysis of tears, Photography of the retina, Removal of cataract with insertion of prosthetic lens and Ultrasound scan of cornea to determine thickness.
This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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