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DR. PHILIP CARMINE FRACASSA M.D.
NPI 1023072949
Ophthalmology in Franklin Square, NY

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
92.5/100
CMS Quality Rating
393 FRANKLIN AVE, SUITE 104, FRANKLIN SQUARE, NY 11010(516) 352-1380(516) 352-1381 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Carmine Fracassa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP CARMINE FRACASSA M.D. (NPI 1023072949) is an individual ophthalmology provider in Franklin Square, New York, licensed in New York (122364-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1973).

NPPES Registry Identity

NPI1023072949
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PHILIP CARMINE FRACASSACredential: M.D.
Location Address393 FRANKLIN AVE, SUITE 104Franklin Square, NY 11010-1227
Mailing Address393 Franklin Ave, Suite 104Franklin Square, NY 11010-1227 · (516) 352-1380 · Fax (516) 352-1381
Phone(516) 352-1380
Fax(516) 352-1381
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1973
Enumeration DateApril 17, 2006
Last NPPES UpdateSeptember 2, 2010
✔ NPI 1023072949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 122364-1
Definition
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.
393 FRANKLIN AVE, Franklin Square, NY 11010
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Other Identifiers 9

Other112526966NY · United Health Care
Other320111NY · Blue Cross/bue Shield
Other0094688NY · Ghi
OtherAS639NY · Oxford Health Plans
Medicare ID-Type Unspecified32011NY
Other25403PNY · Hip
Other660440NY · Healthcare Partners
Other884939NY · Aetna
Medicare UPINB12960NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Carmine Fracassa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991994949
PECOS Enrollment IDI20110106001001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This 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.
3,684 services27 patients
2d ultrasound scan of eye tissue and structures 76512
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.
746 services593 patients
Established patient complete exam of visual system 92014
An 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.
609 services517 patients
Established patient problem focused exam of visual system 92012
This 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.
251 services136 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
89 services85 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
88 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%79 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%176 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,050 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%413 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAFEESAH FAHEEMAH ANTWINE PSYD
Psychologist
393 FRANKLIN AVE, SUITE 101
FRANKLIN SQUARE, NY 11010
Nassau County (516) 750-4841
PERIODONTAL & IMPLANT SURGERY ASSOCIATES
Dentist (Periodontics)
393 FRANKLIN AVE, SUITE 103
FRANKLIN SQUARE, NY 11010
Nassau County (516) 354-5228
DR. GABRIELA VERA NELSON PSY.D.
Psychologist
393 FRANKLIN AVE, SUITE 101
FRANKLIN SQUARE, NY 11010
Nassau County (917) 846-0053
DR. CHARLES EDWARD YURKEWICZ PSY.D.
Psychologist
393 FRANKLIN AVE, SUITE 101
FRANKLIN SQUARE, NY 11010
Nassau County (516) 750-4841
PSYCHOLOGIST ON WHEELS PC
Psychologist
393 FRANKLIN AVE, 101
FRANKLIN SQUARE, NY 11010
Nassau County (516) 750-4841
CHRISTINE M FUCHS LMHC
Counselor (Mental Health)
393 FRANKLIN AVE, SUITE NUMBER 101
FRANKLIN SQUARE, NY 11010
Nassau County (516) 669-0906
ALEX G PAPPAS, DDS, PLLC
Dentist (Periodontics)
393 FRANKLIN AVE, SUITE #103
FRANKLIN SQUARE, NY 11010
Nassau County (516) 354-5228
DR. ANTHONY IENNA DDS
Dentist (Periodontics)
393 FRANKLIN AVE, STE 103
FRANKLIN SQUARE, NY 11010
Nassau County (516) 354-5228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Fracassa's NPI number?

The NPI number for Philip Fracassa is 1023072949. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Philip Fracassa located?

Philip Fracassa practices at 393 Franklin Ave Suite 104, Franklin Square, NY 11010. The listed phone number is (516) 352-1380.

What is Philip Fracassa's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Philip Fracassa enrolled in Medicare?

Yes. Philip Fracassa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Philip Fracassa was last updated on September 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.