MICHAEL J. COONEY MD
NPI 1073548434
Ophthalmology in New York, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
950 THIRD AVENUE, 3RD FLOOR, NEW YORK, NY 10022(212) 861-9797(212) 628-0698 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael J. Cooney Md NPPES

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

MICHAEL J. COONEY MD (NPI 1073548434) is an individual ophthalmology provider in New York, New York, licensed in New York (202238-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1994).

NPPES Registry Identity

NPI1073548434
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL J. COONEYCredential: MD
Location Address950 THIRD AVENUE, 3RD FLOORNew York, NY 10022
Mailing Address950 Third Avenue, 3rd FloorNew York, NY 10022 · (212) 861-9797 · Fax (212) 628-0698
Fax(212) 628-0698
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1994
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 23, 2020
NPI 1073548434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 202238-1
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.

Also ListedSpecialistTaxonomy 174400000X · License 202238 (NY)
950 THIRD AVENUE, New York, NY 10022

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

Michael J. Cooney 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 ID6406896406
PECOS Enrollment IDI20050510000219
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
3,579 services123 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.
2,593 services973 patients
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.
2,340 services21 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.
1,679 services530 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,421 services129 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.
1,243 services263 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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

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%62 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 10

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

Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Specialist
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022
Ophthalmology
950 THIRD AVENUE, 3RD FLOOR
NEW YORK, NY 10022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073548434, enumerated as an "individual" on July 12, 2006.

The provider is located at 950 THIRD AVENUE 3RD FLOOR NEW YORK, NY 10022 and the phone number is (212) 861-9797.

Ophthalmology with taxonomy code 207W00000X.