GEORGE A CIOFFI MD
NPI 1003013533
Ophthalmology in New York, NY


Quality Rating: 96.02 out of 100 score

NPI Status: Active since June 28, 2007

Contact Information

635 W 165TH ST
NEW YORK, NY
ZIP 10032
Phone: (212) 305-9535
Fax: (212) 305-6709

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  • Individual
  • Male
  • Years of Experience 37
  • Ophthalmology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About GEORGE CIOFFI

George Cioffi is a provider established in New York, New York and his medical specialization is Ophthalmology with more than 37 years of experience. He graduated from University Of South Carolina School Of Medicine in 1987. The healthcare provider is registered in the NPI registry with number 1003013533 assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X with license number 264920 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI1003013533
Provider NameGEORGE A CIOFFI MD
Location Address635 W 165TH ST NEW YORK, NY 10032
Location Phone(212) 305-9535
Mailing Address635 W 165TH ST HARKNESS EYE INSTITUTE NEW YORK, NY 10032
GenderMale
Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year1987
Is Sole Proprietor?No
Enumeration Date06-28-2007
Last Update Date02-16-2018
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Ophthalmologists like George Cioffi 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.

George Cioffi 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.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.02, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $39.54 for a new patient copayment and $21.49 for an established patient copayment.

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.
264920
License State
NY
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207WX0009XAllopathic & Osteopathic Physicians

Ophthalmology
Glaucoma Specialist

264920 (NY)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*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
03475101MEDICAID (05)NY 
039672MEDICAID (05)OR 

PECOS Enrollment and Medicare Participation Status

George Cioffi 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: 3173506391

    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: I20120901000016

    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

Physician Visit Costs

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 10032 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $158.18
  • Minimum New Patient Price $69.45
  • Maximum New Patient Price $208.72
  • Average New Patient Copayment $39.54
  • Minimum New Patient Copayment $17.36
  • Maximum New Patient Copayment $52.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $85.96
  • Minimum Established Patient Price $21.65
  • Maximum Established Patient Price $169.66
  • Average Established Patient Copayment $21.49
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $42.41

* 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 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.

  • Final Score: 96.02 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.

  • Quality Score: 92.04

    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.

  • 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: 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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 396

    Diagnostic imaging of optic nerve of eye (HCPCS:92133)

  • 232

    Measurement of field of vision during daylight conditions (HCPCS:92083)

  • 104

    Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

  • 37

    Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

  • 34

    Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

  • 19

    Diagnostic imaging of retina (HCPCS:92134)

  • 19

    Photography of the retina (HCPCS:92250)

Hospital Affiliations

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. George Cioffi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NEW YORK-PRESBYTERIAN HOSPITAL525 EAST 68TH STREET
NEW YORK, NY 10065
(212) 746-5454Acute Care Hospitals

Reviews for GEORGE A CIOFFI MD

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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.
1003013533
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 5 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003013533 is valid because the calculated check digit 3 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
1588627988DR. RAJENDRA K. BANSAL MD
Individual
Ophthalmology635 W 165TH ST SUITE 104
NEW YORK, NY 10032
(212) 350-2241
1871547752 SUSAN JEAN LEE M.D.
Individual
Ophthalmology635 W 165TH ST FLANZER SUITE
NEW YORK, NY 10032
(212) 305-9535
1992741722DR. MARY SCIUTTO M.D.
Individual
Psychiatry & Neurology (Psychiatry)635 W 165TH ST INTENSIVE OUTPATIENT PROGRAM - EI 4TH FLOOR
NEW YORK, NY 10032
(212) 305-9758
1295764306DR. BENJAMIN MCCOMMON M.D.
Individual
Psychiatry & Neurology (Psychiatry)635 W 165TH ST INTENSIVE OUTPATIENT PROGRAM
NEW YORK, NY 10032
(212) 305-9758
1508895517DR. RICHARD HERSH M.D.
Individual
Psychiatry & Neurology (Psychiatry)635 W 165TH ST INTENSIVE OUTPATIENT PROGRAM - EI 4TH FLOOR
NEW YORK, NY 10032
(212) 305-9758
1861421877DR. CECILIA DINTINO PH.D.
Individual
Psychologist635 W 165TH ST INTENSIVE OUTPATIENT PROGRAM - EI 4TH FLOOR
NEW YORK, NY 10032
(212) 305-9758
1912936881DR. ANTHONY TRANGUCH M.D.
Individual
Psychiatry & Neurology (Psychiatry)635 W 165TH ST INTENSIVE OUTPATIENT PROGRAM - EI 4TH FLOOR
NEW YORK, NY 10032
(212) 305-9758
1376576892TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Organization
Ophthalmology635 W 165TH ST FLANZER SUITE
NEW YORK, NY 10032
(212) 305-9535
1508883497 HERMANN D SCHUBERT M.D.
Individual
Ophthalmology635 W 165TH ST
NEW YORK, NY 10032
(212) 305-6534
1174542542DR. MARK JOHN DONALDSON MBBS(HONS)
Individual
Ophthalmology635 W 165TH ST COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
(212) 305-2725
1265452213 MICHAEL KAZIM M.D.
Individual
Ophthalmology635 W 165TH ST
NEW YORK, NY 10032
(212) 305-5477
1982624201 MAX FORBES M.D.
Individual
Ophthalmology635 W 165TH ST BOX 92
NEW YORK, NY 10032
(212) 305-9535
1518987643 HOWARD M EGGERS M.D.
Individual
Ophthalmology635 W 165TH ST
NEW YORK, NY 10032
(212) 305-5409
1629098991 WILLIAM M SCHIFF M.D.
Individual
Ophthalmology635 W 165TH ST BOX 92
NEW YORK, NY 10032
(212) 305-9535
1659394294DR. STEVEN KANE M.D.
Individual
Ophthalmology635 W 165TH ST ROOM 102
NEW YORK, NY 10032
(212) 305-5400
1316961048 THOMAS E FLYNN M.D.
Individual
Ophthalmology635 W 165TH ST BOX 92
NEW YORK, NY 10032
(212) 305-3039
1689698938 GAETANO BARILE M.D.
Individual
Ophthalmology635 W 165TH ST
NEW YORK, NY 10032
(212) 305-9535
1962419218 AMILIA SCHRIER M.D.
Individual
Ophthalmology635 W 165TH ST
NEW YORK, NY 10032
(212) 305-9535
1801803150 RICHARD E BRAUNSTEIN M.D.
Individual
Ophthalmology635 W 165TH ST BOX 92
NEW YORK, NY 10032
(212) 305-9535
1699800821 MOLLY ALGERMISSEN PHD
Individual
Psychologist (Clinical)635 W 165TH ST SUITE 635
NEW YORK, NY 10032
(212) 342-1480

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013533, enumerated in the NPI registry as an "individual" on June 28, 2007

The provider is located at 635 W 165th St New York, Ny 10032 and the phone number is (212) 305-9535

The provider's speciality is Ophthalmology with taxonomy code 207W00000X

The provider has more than 37 years of experience. He graduated from University Of South Carolina School Of Medicine in 1987.

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 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 $158.18 with an average copayment of $39.54 for new patient appointments. Established patients should expect a typical charge of $85.96 and an average copayment of 21.49. 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: Diagnostic imaging of optic nerve of eye, Measurement of field of vision during daylight conditions, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits, Eye and medical examination for diagnosis and treatment, established patient, Diagnostic imaging of retina and Photography of the retina.

The practitioner is affiliated to the following hospital(s): NEW YORK-PRESBYTERIAN 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 June 28, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.