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RALPH J DI GIOVANNI JR. M.D.
NPI 1053428144
Ophthalmology in Bala Cynwyd, PA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
78.71/100
CMS Quality Rating
501 BELMONT AVE, BALA CYNWYD, PA 19004(610) 667-4066(610) 667-7955 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph J Di Giovanni Jr. M.d. NPPES

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

RALPH J DI GIOVANNI JR. M.D. (NPI 1053428144) is an individual ophthalmology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD071468L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1053428144
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRALPH J DI GIOVANNI JR.Credential: M.D.
Location Address501 BELMONT AVEBala Cynwyd, PA 19004-1302
Mailing Address501 Belmont AveBala Cynwyd, PA 19004-1302 · (610) 667-4066 · Fax (610) 667-7955
Phone(610) 667-4066
Fax(610) 667-7955
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1998
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 22, 2014
✔ NPI 1053428144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD071468L
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.
501 BELMONT AVE, Bala Cynwyd, PA 19004
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Other Identifiers 7

Other1319228PA · Blue Shield
Other2012200000PA · Personal Choice
OtherP00100824PA · Railroad Medicare
Other2012200000PA · Keystone
Medicare UPINH55838PA
Medicare PIN055432NM9PA
Other2853818PA · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Ralph J Di Giovanni Jr. 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 ID5698986032
PECOS Enrollment IDI20110323000110
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 13

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.

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.
1,097 services1,083 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.
287 services244 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
197 services120 patients
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.
187 services106 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.
167 services165 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
150 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

78.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost39.89

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%20 patients5/55-star benchmark: 100%
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 3

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

MARVIN H GREENBAUM M.D.
Ophthalmology
501 BELMONT AVE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-4066
MARVIN H. GREENBAUM, M.D. PC
Ophthalmology
501 BELMONT AVE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-4066
DR. KEITH JEFFREY MATHERS M.D.
Ophthalmology
501 BELMONT AVE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-4066

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 Ralph Di Giovanni's NPI number?

The NPI number for Ralph Di Giovanni is 1053428144. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Ralph Di Giovanni located?

Ralph Di Giovanni practices at 501 Belmont Ave, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-4066.

What is Ralph Di Giovanni's specialty?

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

Is Ralph Di Giovanni enrolled in Medicare?

Yes. Ralph Di Giovanni 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 Ralph Di Giovanni accept?

Health plans from Providence Health Plan list Ralph Di Giovanni 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 Ralph Di Giovanni was last updated on September 22, 2014. 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.