DR. HARRIS CHAUHDRY SULTAN MD
NPI 1669890570
Ophthalmology in Saint Louis, MO
Quality Rating: 94.51 out of 100 score
NPI Status: Active since March 29, 2014
Contact Information
517 S EUCLID AVE
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-3431
Fax: (314) 362-6564
- Individual
- Male
- Years of Experience 12
- Ophthalmology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About HARRIS SULTAN
This page provides the complete NPI Profile along with additional information for Harris Sultan, a provider established in Saint Louis, Missouri with a medical specialization in Ophthalmology and more than 12 years of experience. He graduated from University Of Connecticut School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1669890570 assigned on March 2014. The practitioner's primary taxonomy code is 207W00000X with license number 2018013810 (MO). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1669890570
- Provider Name
- DR. HARRIS CHAUHDRY SULTAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 517 S EUCLID AVE SAINT LOUIS, MO 63110
- Location Phone
- (314) 362-3431
- Location Fax
- (314) 362-6564
- Mailing Address
- 660 S EUCLID AVE CB 8096 SAINT LOUIS, MO 63110
- Mailing Phone
- (314) 362-3431
- Mailing Fax
- (314) 362-6564
- Medical School Name
- UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2014
- Last Update Date
- 08-15-2018
- Code Navigator
Ophthalmologists like Harris Sultan 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.
- 2018013810
- License State
- MO
- 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:
- Complete Gold - HMO
- Complete Gold + 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
- 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
- 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 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 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 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Harris Sultan 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.
Harris Sultan 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: 4981966322
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: I20200831001697
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.
2d ultrasound scan of eye tissue and structures
Cataract surgery
Compounded drug, not otherwise classified
Established patient complete exam of visual system
Established patient office or other outpatient visit, 30-39 minutes
Established patient problem focused exam of visual system
Exam of retinal blood vessels using a special camera after injection of a dye
Extended exam of the back part of the eye with optic nerve drawing
Extended exam of the back part of the eye with retinal drawing
Imaging of front third of eye using a special camera after injection of a dye
Imaging of retina
Injection of drug into eye
Injection of drug or substance into membrane covering eyeball
Injection, aflibercept, 1 mg
Injection, ranibizumab, 0.1 mg
New patient office or other outpatient visit, 45-59 minutes
Photocoagulation treatment to prevent detachment of retina
Photography of the retina
Removal of eye fluid (vitreous) between lens and retina
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
This service was performed 64 times for 42 patientsCataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.
This service was performed for 1-10 patientsA compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
This service was performed 211 times for 107 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 2,263 times for 850 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 31 times for 31 patientsThis is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
This service was performed 42 times for 35 patientsThis procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.
This service was performed 107 times for 105 patientsThis procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
This service was performed 1,091 times for 620 patientsThis procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
This service was performed 298 times for 205 patientsThis procedure involves capturing images of the front part of your eye. A special camera is used for this purpose. Prior to the imaging, a dye is injected to highlight the structures of the eye. This helps in better diagnosis and treatment planning.
This service was performed 11 times for 11 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 2,347 times for 926 patientsAn injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
This service was performed 1,523 times for 401 patientsThis procedure involves injecting medication into the membrane covering your eyeball, known as the conjunctiva. It's done to treat various eye conditions. A specialist will numb your eye first to minimize discomfort. You may experience temporary blurred vision afterwards.
This service was performed 13 times for 11 patientsAflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
This service was performed 1,546 times for 194 patientsRanibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
This service was performed 3,503 times for 155 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 317 times for 317 patientsPhotocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.
This service was performed 18 times for 17 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 291 times for 245 patientsThis procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.07 for a new patient copayment and $17.37 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 63110 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.28
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $32.07
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.5
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* 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 94.51, 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: 94.51 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: 99.9
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: 100
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: 81.79
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: 81.79
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. Harris Sultan is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CLARA MAASS MEDICAL CENTER | ONE CLARA MAASS DRIVE BELLEVILLE, NJ 07109 | (973) 450-2000 | 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 | 6 | 6 | 9 | 8 | 9 | 0 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 9 | 0 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 9 + 0 + 5 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669890570 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1003832239 | DR. MARCUS E RAICHLE MD Individual | Psychiatry & Neurology (Neurology) | 517 S EUCLID AVE GROUND FLOOR SAINT LOUIS, MO 63110 (314) 362-6907 |
| 1871510404 | MS. MELINDA SUE KAVANAUGH LCSW Individual | Social Worker | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-6908 |
| 1063435089 | DR. WILLIAM D GAY DDS Individual | Oral & Maxillofacial Surgery | 517 S EUCLID AVE 8TH FLOOR SAINT LOUIS, MO 63110 (314) 362-8574 |
| 1174788392 | MR. JILL BLAIR FIRSZT AUD Individual | Audiologist | 517 S EUCLID AVE 10TH FLOOR SAINT LOUIS, MO 63110 (314) 362-7245 |
| 1952560294 | DR. IAN FRANZ PITHA MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1205146636 | MOHAMED ELSAFI, DDS LLC Organization | Dentist (Prosthodontics) | 517 S EUCLID AVE MCMILLAN BUILDING SUITE 819 SAINT LOUIS, MO 63110 (314) 362-8574 |
| 1831316488 | MS. RUTH MARGARET REEDER AUD Individual | Audiologist | 517 S EUCLID AVE 10TH FLOOR SAINT LOUIS, MO 63110 (314) 362-7245 |
| 1194045245 | DR. ANITRA DAYNA TURNER MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3937 |
| 1871596890 | DR. ROBERT M FEIBEL MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3937 |
| 1043573280 | DR. ZACHARY D SEAGRAVE MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1407898141 | DR. HARRY LS KNOPF MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3937 |
| 1477571909 | DR. MORTON E SMITH MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 747-5559 |
| 1164797270 | DR. JASON D RUPP MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1427439298 | DR. BLISS ELIZABETH O'BRYHIM MD Individual | Ophthalmology (Retina Specialist) | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1679736359 | DR. SONYA BAMBA MD Individual | Ophthalmology | 517 S EUCLID AVE SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1639533722 | DR. JASON NICHOLAS PAPAS MD Individual | Ophthalmology | 517 S EUCLID AVE 1ST FL, DEPT OPTHALMOLOGY SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1053856963 | DR. TIFFANY CHRISTINA HO MD Individual | Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery) | 517 S EUCLID AVE DEPT OPTHALMOLOGY, 1ST FL SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1477973113 | DR. CHRISTOPHER KWAN HWANG MD Individual | Ophthalmology | 517 S EUCLID AVE DEPT OPTHALMOLOGY, 1ST FL SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1578914974 | DR. ALEXANDER STEVEN BARSAM MD Individual | Ophthalmology | 517 S EUCLID AVE DEPT OPTHALMOLOGY, 1ST FL SAINT LOUIS, MO 63110 (314) 362-3431 |
| 1790701019 | DR. GLENN LOPATE MD Individual | Psychiatry & Neurology (Neurology) | 517 S EUCLID AVE DIV NEUROLOGY NEUROMUSCULAR, G FL SAINT LOUIS, MO 63110 (314) 362-1408 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669890570, enumerated in the NPI registry as an "individual" on March 29, 2014
The provider is located at 517 S Euclid Ave Saint Louis, Mo 63110 and the phone number is (314) 362-3431
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider has more than 12 years of experience. He graduated from University Of Connecticut School Of Medicine in 2014.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware, Blue. 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 , coordinates care and seeks improvement of health outcomes.
Medicare beneficiaries should expect a typical cost of $128.28 with an average copayment of $32.07 for new patient appointments. Established patients should expect a typical charge of $69.5 and an average copayment of 17.37. 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: 2d ultrasound scan of eye tissue and structures, Cataract surgery, Compounded drug, not otherwise classified, Established patient complete exam of visual system, Established patient office or other outpatient visit, 30-39 minutes, Established patient problem focused exam of visual system, Exam of retinal blood vessels using a special camera after injection of a dye, Extended exam of the back part of the eye with optic nerve drawing, Extended exam of the back part of the eye with retinal drawing, Imaging of front third of eye using a special camera after injection of a dye, Imaging of retina, Injection of drug into eye, Injection of drug or substance into membrane covering eyeball, Injection, aflibercept, 1 mg, Injection, ranibizumab, 0.1 mg, New patient office or other outpatient visit, 45-59 minutes, Photocoagulation treatment to prevent detachment of retina, Photography of the retina and Removal of eye fluid (vitreous) between lens and retina.
The practitioner is affiliated to the following hospital(s): CLARA MAASS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 29, 2014. 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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