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ROBERT M LEWEN MD
NPI 1043279102
Ophthalmology in Pittsburgh, PA

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment
55.23/100
CMS Quality Rating
420 EAST NORTH AVENUE, STE 116, PITTSBURGH, PA 15212(412) 359-6300(412) 359-6768 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert M Lewen Md NPPES

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

ROBERT M LEWEN MD (NPI 1043279102) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD043035E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (1980).

NPPES Registry Identity

NPI1043279102
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT M LEWENCredential: MD
Location Address420 EAST NORTH AVENUE, STE 116Pittsburgh, PA 15212
Mailing Address420 East North Avenue, Ste 116Pittsburgh, PA 15212 · (412) 359-6300 · Fax (412) 359-6768
Phone(412) 359-6300
Fax(412) 359-6768
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1980
Enumeration DateMarch 18, 2006
Last NPPES UpdateApril 14, 2015
✔ NPI 1043279102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD043035E
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.
420 EAST NORTH AVENUE, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC67240
Medicaid0011490100006PA
Medicare ID-Type Unspecified543820J4E

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Robert M Lewen Md 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 ID7810030822
PECOS Enrollment IDI20110713000353
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,120 services23 patients
Imaging of retina 92134
Imaging 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.
982 services389 patients
Injection of drug into eye 67028
An 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.
441 services122 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
350 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
304 services187 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.
238 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

55.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Improvement Activities0
Cost100

Other Providers at the Same Location NPPES

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

RANDALL LEE BEATTY MD
Ophthalmology
420 EAST NORTH AVENUE, STE 116
PITTSBURGH, PA 15212
Allegheny County (412) 359-6300

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 Robert Lewen's NPI number?

The NPI number for Robert Lewen is 1043279102. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Robert Lewen located?

Robert Lewen practices at 420 East North Avenue Ste 116, Pittsburgh, PA 15212. The listed phone number is (412) 359-6300.

What is Robert Lewen's specialty?

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

Is Robert Lewen enrolled in Medicare?

Yes. Robert Lewen 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.

What insurance does Robert Lewen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Lewen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Lewen was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.