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MELVIN MUNOZ GUZMAN O.D.
NPI 1144490061
Optometrist in Poughkeepsie, NY

Active since March 06, 2008PECOS EnrolledAccepts Medicare Assignment
84.54/100
CMS Quality Rating
23 DAVIS AVE, POUGHKEEPSIE, NY 12603(845) 454-1025(845) 454-5881 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melvin Munoz Guzman O.d. NPPES

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

MELVIN MUNOZ GUZMAN O.D. (NPI 1144490061) is an individual optometrist in Poughkeepsie, New York, licensed in New York (005017) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1989).

NPPES Registry Identity

NPI1144490061
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMELVIN MUNOZ GUZMANCredential: O.D.
Location Address23 DAVIS AVEPoughkeepsie, NY 12603-2455
Mailing Address23 Davis AvePoughkeepsie, NY 12603-2455 · (845) 454-1025 · Fax (845) 454-5881
Phone(845) 454-1025
Fax(845) 454-5881
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1989
Enumeration DateMarch 6, 2008
Last NPPES UpdateAugust 12, 2014
✔ NPI 1144490061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 005017
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
23 DAVIS AVE, Poughkeepsie, NY 12603
Open in Google Maps ↗

Other Identifiers 2

Other005017NY · Nys Medical License
Medicare PINC197B1NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Melvin Munoz Guzman O.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 ID6002994431
PECOS Enrollment IDI20080424000626
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 10

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.
547 services545 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.
300 services299 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.
242 services183 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
165 services68 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
158 services78 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).
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12603 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

84.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.47

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
81%64 patients3/55-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.

LASER CATARACT OF NEW YORK LLC
Clinic/Center (Ambulatory Surgical)
23 DAVIS AVE
POUGHKEEPSIE, NY 12603
Dutchess County (845) 454-1025
DUTCHESS SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
23 DAVIS AVE
POUGHKEEPSIE, NY 12603
Dutchess County (845) 473-6144
HEALTH QUEST MEDICAL PRACTICE, PC
Podiatrist
23 DAVIS AVE
POUGHKEEPSIE, NY 12603
Dutchess County (845) 473-6144

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 Melvin Munoz Guzman's NPI number?

The NPI number for Melvin Munoz Guzman is 1144490061. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Melvin Munoz Guzman located?

Melvin Munoz Guzman practices at 23 Davis Ave, Poughkeepsie, NY 12603. The listed phone number is (845) 454-1025.

What is Melvin Munoz Guzman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Melvin Munoz Guzman enrolled in Medicare?

Yes. Melvin Munoz Guzman 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 Melvin Munoz Guzman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Melvin Munoz Guzman 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 Melvin Munoz Guzman was last updated on August 12, 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.