Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REZA RAZEGHINEJAD M.D.
NPI 1154705796
Ophthalmology in Danville, PA

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
16 WOODBINE LN, DANVILLE, PA 17821(570) 271-6531(570) 271-7146 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Nov 6, 2019, Dec 6, 2017 and 1 more (4 updates tracked since 2017).

About Reza Razeghinejad M.d. NPPES

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

REZA RAZEGHINEJAD M.D. (NPI 1154705796) is an individual ophthalmology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD462972) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1154705796
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameREZA RAZEGHINEJADCredential: M.D.
Location Address16 WOODBINE LNDanville, PA 17821-8029
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6531 · Fax (570) 271-7146
Fax(570) 271-7146
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 14, 2015
Last NPPES UpdateOctober 13, 20264 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1154705796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD462972
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 ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License MD462972 (PA)
16 WOODBINE LN, Danville, PA 17821

Other Names 1

Former Name (1)Mohammadreza Razeghinejad M.d.

Secondary Practice Location 1

Location 1840 Walnut St Ste 1110Philadelphia, PA 19107-5109 · Phone (215) 928-3197 · Fax (215) 928-0166

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reza Razeghinejad 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 ID2860709284
PECOS Enrollment IDI20170913001134, I20251224000167
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Reza Razeghinejad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
5301 LIMESTONE RD STE 122
Wilmington, DE 19808
  • Reassigned Medicare billing, Delaware and Pennsylvania enrollments
  • 8 clinicians in this Medicare group
Ophthalmology
319 SECOND STREET PIKE
Southampton, PA 18966
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Tri-Century Eye Care, P.C.
  • 19 clinicians in this Medicare group
Ophthalmology
840 WALNUT ST, SUITE 1230
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 230 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

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.
657 services466 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.
507 services345 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).
431 services381 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.
254 services204 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.
130 services126 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.
126 services105 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17821 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Specialist/Technologist (Athletic Trainer)
16 WOODBINE LN
DANVILLE, PA 17821
Pediatrics
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16 WOODBINE LN
DANVILLE, PA 17821
Student in an Organized Health Care Education/Training Program
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Dermatology
16 WOODBINE LN
DANVILLE, PA 17821

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 Reza Razeghinejad's NPI number?

The NPI number for Reza Razeghinejad is 1154705796. It was assigned to this individual provider in the NPPES registry on July 14, 2015. The provider is also known as Mohammadreza Razeghinejad M.D..

Where is Reza Razeghinejad located?

Reza Razeghinejad practices at 16 Woodbine Ln, Danville, PA 17821. The listed phone number is (570) 271-6531.

What is Reza Razeghinejad's specialty?

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

Is Reza Razeghinejad enrolled in Medicare?

Yes. Reza Razeghinejad 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.

Which organizations bill Medicare for Reza Razeghinejad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reza Razeghinejad reassigns Medicare benefits to 3 organizations: Center For Advanced Eye Care (Wilmington, DE), Tri-Century Eye Care, PC (Southampton, PA) and Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reza Razeghinejad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reza Razeghinejad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Reza Razeghinejad 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.

Is Reza Razeghinejad affiliated with any hospitals?

According to CMS data, Reza Razeghinejad is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Reza Razeghinejad was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.