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DR. RICHARD NAUHEIM MD
NPI 1063417566
Ophthalmology in Merrick, NY

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
91.87/100
CMS Quality Rating
2025 MERRICK AVE, MERRICK, NY 11566(516) 868-7110(516) 868-7380 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Nauheim Md NPPES

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

DR. RICHARD NAUHEIM MD (NPI 1063417566) is an individual ophthalmology provider in Merrick, New York, licensed in New York (162799) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of State University Of New York At Buffalo School Of Medicine (1984).

NPPES Registry Identity

NPI1063417566
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICHARD NAUHEIMCredential: MD
Location Address2025 MERRICK AVEMerrick, NY 11566-3146
Mailing Address2025 Merrick AveMerrick, NY 11566-3146 · (516) 868-7110 · Fax (516) 868-7380
Phone(516) 868-7110
Fax(516) 868-7380
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1984
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 24, 2009
✔ NPI 1063417566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 162799
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.
2025 MERRICK AVE, Merrick, NY 11566
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Other Identifiers 3

Medicare UPINE17238
Medicaid01190876NY
Medicare ID-Type Unspecified22F821

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. Richard Nauheim 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 ID749477255
PECOS Enrollment IDI20101209001087
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.

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.
541 services219 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.
444 services350 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.
220 services153 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
103 services102 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.
98 services98 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
92 services91 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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.

91.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.31
Promoting Interoperability87
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
95%64 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%64 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,974 patients5/55-star benchmark: 100%
e-Prescribing
100%1,313 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,266 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%1,238 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
83%1,282 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 96 patients
Patients totalRate: 0% · 96 patients
0%96 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

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

J S NAUHEIM MD PC
Ophthalmology
2025 MERRICK AVE
MERRICK, NY 11566
Nassau County (516) 868-7110

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 Richard Nauheim's NPI number?

The NPI number for Richard Nauheim is 1063417566. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Richard Nauheim located?

Richard Nauheim practices at 2025 Merrick Ave, Merrick, NY 11566. The listed phone number is (516) 868-7110.

What is Richard Nauheim's specialty?

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

Is Richard Nauheim enrolled in Medicare?

Yes. Richard Nauheim 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.

Is Richard Nauheim affiliated with any hospitals?

According to CMS data, Richard Nauheim is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Richard Nauheim was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.