SERGIO CISNEROS OD
NPI 1174257521
Optometrist in Richmond Hill, NY
About Sergio Cisneros Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGIO CISNEROS OD (NPI 1174257521) is an individual optometrist in Richmond Hill, New York, licensed in New York (TUV0009594) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sergio Cisneros Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Sergio Cisneros reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10455
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Bronx, NY 10455
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Rockville Centre, NY 11570
- Reassigned Medicare billing, New York enrollment
- 134 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sergio Cisneros's NPI number?
The NPI number for Sergio Cisneros is 1174257521. It was assigned to this individual provider in the NPPES registry on July 12, 2022.
Where is Sergio Cisneros located?
Sergio Cisneros practices at 11915 Atlantic Ave, Richmond Hill, NY 11418. The listed phone number is (718) 805-0700.
What is Sergio Cisneros's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sergio Cisneros enrolled in Medicare?
Yes. Sergio Cisneros is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sergio Cisneros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Cisneros reassigns Medicare benefits to 4 organizations: Bronx Vista Inc (Bronx, NY), Vista On 3rd Inc. (Bronx, NY), Socialeyes Ny Corp (Bronx, NY) and Ophthalmic Consultants Of Long Island (Rockville Centre, NY). 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 Sergio Cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sergio Cisneros accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Sergio Cisneros 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 Sergio Cisneros was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sergio Cisneros, OD · NPI 1174257521
Optometrist provider in Richmond Hill, New York. Individual provider, active in the CMS NPPES registry since July 12, 2022.
## Identity
- **NPI:** 1174257521 (Entity type: Individual)
- **Enumerated:** July 12, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV0009594 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11915 ATLANTIC AVE, Richmond Hill, NY 11418-3216
- **Phone:** (718) 805-0700 · **Fax:** (718) 805-5621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Bronx Vista Inc (NPI 1689044067, Bronx, NY); Vista On 3rd Inc. (NPI 1144878778, Bronx, NY); Socialeyes Ny Corp (NPI 1801784269, Bronx, NY); Ophthalmic Consultants Of Long Island (NPI 1285675660, Rockville Centre, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174257521) · Data from the CMS NPPES public registry.