DR. MARY A STEFANYSZYN MD
NPI 1245239318
Ophthalmology in Wynnewood, PA
Quality Rating: 98.2 out of 100 score
NPI Status: Active since July 20, 2005
Contact Information
100 E LANCASTER AVE
SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 649-1970
- Individual
- Female
- Years of Experience 48
- Ophthalmology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARY STEFANYSZYN
This page provides the complete NPI Profile along with additional information for Mary Stefanyszyn, a provider established in Wynnewood, Pennsylvania with a medical specialization in Ophthalmology and more than 48 years of experience. She graduated from Harvard Medical School in 1978. The healthcare provider is registered in the NPI registry with number 1245239318 assigned on July 2005. The practitioner's primary taxonomy code is 207W00000X with license number MD022299E (PA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1245239318
- Provider Name
- DR. MARY A STEFANYSZYN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST WYNNEWOOD, PA 19096
- Location Phone
- (610) 649-1970
- Mailing Address
- 100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST WYNNEWOOD, PA 19096
- Mailing Phone
- (610) 649-1970
- Medical School Name
- HARVARD MEDICAL SCHOOL
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 07-02-2008
- Code Navigator
Ophthalmologists like Mary Stefanyszyn specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD022299E
- License State
- PA
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
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 |
---|---|---|---|
0180009411 | MEDICARE NSC (07) | PA | |
120487FOH | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | |
0885754 | MEDICAID (05) | PA | |
B37173 | MEDICARE UPIN (02) | PA | |
692389 | MEDICARE PIN (08) | NJ |
Medicare Participation & PECOS Enrollment Status
Mary Stefanyszyn 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.
Mary Stefanyszyn 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), a Home Health Agency (HHA) and Power Mobility Devices.
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: 5991991127
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: I20101130000258
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: Yes
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.
Creation of permanent eyelid margin scarring with relocation of eyelid tissue
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Exam of visual field with extended testing
Extensive repair of turning-outward eyelid defect
Injection of chemical for paralysis of nerve muscles on side of face
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
Injection, dexamethasone sodium phosphate, 1 mg
Injection, incobotulinumtoxin a, 1 unit
Insertion of probe into nasal tear duct
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 45-59 minutes
Photography of content of eyes
Reconstruction of eyelid margin
Removal of growth of eyelid
Removal of up to 1/4 of eyelid margin and repair of eyelid
Repair of tendon of upper eyelid
This procedure involves creating a small scar on the eyelid margin to reshape it. Then, eyelid tissue is repositioned to improve its function and appearance. This can help with conditions like eyelid drooping or turning inwards. It's usually done under local anesthesia.
This service was performed 17 times for 15 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 274 times for 172 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 227 times for 153 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 64 times for 62 patientsThis procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
This service was performed 45 times for 42 patientsThis procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
This service was performed 99 times for 45 patientsThis injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
This service was performed 11 times for 11 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 11 times for 11 patientsIncobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
This service was performed 10,250 times for 46 patientsThe insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.
This service was performed 26 times for 17 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 53 times for 53 patientsPhotography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
This service was performed 72 times for 72 patientsReconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.
This service was performed 33 times for 29 patientsThe removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
This service was performed 15 times for 14 patientsThis procedure involves the careful removal of up to a quarter of the eyelid margin. It's often done to treat certain eye conditions or injuries. After removal, the eyelid is expertly repaired to restore its function and appearance.
This service was performed 32 times for 30 patientsRepair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
This service was performed 43 times for 42 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.29 for a new patient copayment and $18.61 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 19096 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.47
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $18.61
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* 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 98.2, 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 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: 98.2 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: 100
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: 94
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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mary Stefanyszyn is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
WILLS EYE HOSPITAL | 840 WALNUT STREET PHILADELPHIA, PA 19107 | (215) 440-3100 | Acute Care Hospitals |
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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 | 2 | 4 | 5 | 2 | 3 | 9 | 3 | 1 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 3 | 18 | 3 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 3 + 1 + 8 + 3 + 2 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1245239318 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1003819079 | DR. ROBERT D. SMINK JR. MD Individual | Surgery | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 642-1908 |
1184627143 | DR. FRANCISCO G BADOSA M.D. Individual | Surgery | 100 E LANCASTER AVE 4404 MEDICAL SCIENCE BUILDING WYNNEWOOD, PA 19096 (610) 645-8485 |
1881697845 | DR. ROBERT B NOONE JR. MD Individual | Colon & Rectal Surgery | 100 E LANCASTER AVE SUITE 275 LANKENAU MED SCI BLDG. WYNNEWOOD, PA 19096 (610) 642-1908 |
1578568325 | DAVID NAIDE MD Individual | Internal Medicine (Cardiovascular Disease) | 100 E LANCASTER AVE SUITE 356 LANKENAU MOB EAST WYNNEWOOD, PA 19096 (610) 649-7625 |
1598761538 | CARDIOVASCULAR ASSOCIATES OF SOUTHEASTER PENNSYLVANIA PC Organization | Internal Medicine (Cardiovascular Disease) | 100 E LANCASTER AVE STE 356EAST WYNNEWOOD, PA 19096 (610) 649-7625 |
1659370633 | JOSEPH C FLANAGAN MD Individual | Ophthalmology | 100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST WYNNEWOOD, PA 19096 (610) 649-1970 |
1134129349 | DR. ALBERT DENITTIS MD Individual | Radiology (Radiation Oncology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-2433 |
1457351660 | DR. MARISA WEISS MD Individual | Radiology (Radiation Oncology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-2433 |
1275529190 | MAIN LINE HOSPITALS, INC. Organization | Skilled Nursing Facility | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-6400 |
1255328571 | WILLIAM R FORMAN DPM Individual | Podiatrist | 100 E LANCASTER AVE SUITE 117 WYNNEWOOD, PA 19096 (610) 649-9662 |
1679561963 | CHARLES ROBERT SCHLEIFER MD Individual | Internal Medicine (Nephrology) | 100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST WYNNEWOOD, PA 19096 (610) 649-1175 |
1659369874 | CORINNE MCMASTER MORGAN MD Individual | Internal Medicine (Nephrology) | 100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST WYNNEWOOD, PA 19096 (610) 649-1175 |
1215927363 | AILEEN J JASKO JOYCE CRNP Individual | Nurse Practitioner (Family) | 100 E LANCASTER AVE SUITE 108 WYNNEWOOD, PA 19096 (610) 645-3400 |
1750372694 | ISADORE P FORMAN DPM LTD Organization | Podiatrist | 100 E LANCASTER AVE STE 117 WYNNEWOOD, PA 19096 (610) 649-9662 |
1871584169 | DAVID T HARRIS MD Individual | Internal Medicine (Hematology & Oncology) | 100 E LANCASTER AVE SUITE 417 WYNNEWOOD, PA 19096 (610) 658-9690 |
1114900602 | DINA MONZER YOUSEF ZAHRA MD Individual | Radiology (Neuroradiology) | 100 E LANCASTER AVE DEPT OF RADIOLOGY WYNNEWOOD, PA 19096 (610) 429-0693 |
1497734685 | ILA M PETERSON M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-8013 |
1366421588 | JOSEPH P HORSTMANN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-2613 |
1114906302 | SHOTARO IMAIZUMI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-2613 |
1902885197 | VLASTA ZEMBA-PALKO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 E LANCASTER AVE WYNNEWOOD, PA 19096 (610) 645-2613 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245239318, enumerated in the NPI registry as an "individual" on July 20, 2005
The provider is located at 100 E Lancaster Ave Suite 256 Medical Bldg East Wynnewood, Pa 19096 and the phone number is (610) 649-1970
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 48 years of experience. She graduated from Harvard Medical School in 1978.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. 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), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $137.17 with an average copayment of $34.29 for new patient appointments. Established patients should expect a typical charge of $74.47 and an average copayment of 18.61. 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: Creation of permanent eyelid margin scarring with relocation of eyelid tissue, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Exam of visual field with extended testing, Extensive repair of turning-outward eyelid defect, Injection of chemical for paralysis of nerve muscles on side of face, Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, Injection, dexamethasone sodium phosphate, 1 mg, Injection, incobotulinumtoxin a, 1 unit, Insertion of probe into nasal tear duct, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 45-59 minutes, Photography of content of eyes, Reconstruction of eyelid margin, Removal of growth of eyelid, Removal of up to 1/4 of eyelid margin and repair of eyelid and Repair of tendon of upper eyelid.
The practitioner is affiliated to the following hospital(s): WILLS EYE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 20, 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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