DR. NATHAN M RADCLIFFE M.D.
NPI 1124229810
Ophthalmology in New York, NY

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
94.52/100
CMS Quality Rating
1305 YORK AVE, 11TH FLOOR, NEW YORK, NY 10021(646) 962-2020 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nathan M Radcliffe M.d. NPPES

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

DR. NATHAN M RADCLIFFE M.D. (NPI 1124229810) is an individual ophthalmology provider in New York, New York, licensed in New York (232935) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2003).

NPPES Registry Identity

NPI1124229810
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NATHAN M RADCLIFFECredential: M.D.
Location Address1305 YORK AVE, 11TH FLOORNew York, NY 10021-5663
Mailing Address1305 York Ave, 11th FloorNew York, NY 10021-5663 · (646) 962-2020
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 28, 2013
NPI 1124229810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 232935
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.

1305 YORK AVE, New York, NY 10021

Other Identifiers 2

Medicare PINA400034335NY
Medicaid02995797NY

Accepted 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

Dr. Nathan M Radcliffe 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 ID9234220922
PECOS Enrollment IDI20070809000652
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 22

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.

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).
319 services257 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.
307 services199 patients
Imaging of front third of eye 92132
Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.
149 services133 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.
147 services137 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
102 services96 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.
65 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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.

94.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Audiologist
1305 YORK AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021
Optometrist (Corneal and Contact Management)
1305 YORK AVE, 11TH FL
NEW YORK, NY 10021

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 Nathan Radcliffe's NPI number?

The NPI number for Nathan Radcliffe is 1124229810. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Nathan Radcliffe located?

Nathan Radcliffe practices at 1305 York Ave 11th Floor, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Nathan Radcliffe's specialty?

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

Is Nathan Radcliffe enrolled in Medicare?

Yes. Nathan Radcliffe 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 Nathan Radcliffe accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Nathan Radcliffe 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 Nathan Radcliffe was last updated on May 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.