STEVEN A NISSMAN MD
NPI 1184659310
Ophthalmology in Plymouth Meeting, PA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
699 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462(610) 834-1800(610) 834-1811 Get Directions Write a Review

NPPES record last updated: August 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven A Nissman Md NPPES

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

STEVEN A NISSMAN MD (NPI 1184659310) is an individual ophthalmology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD425959) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (2002).

NPPES Registry Identity

NPI1184659310
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN A NISSMANCredential: MD
Location Address699 W GERMANTOWN PIKEPlymouth Meeting, PA 19462-1073
Mailing Address699 W Germantown PikePlymouth Meeting, PA 19462-1073 · (610) 834-1800 · Fax (610) 834-1811
Fax(610) 834-1811
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2012
NPI 1184659310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD425959 Licensed in NJ · MA07892400
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.
699 W GERMANTOWN PIKE, Plymouth Meeting, PA 19462

Other Identifiers 21

OtherI55871Upin
OtherP3741343PA · Oxford
Other2757673000PA · Bcbs
Other01705PA · Health Partners - Frank
Other7053856PA · Aetna
Other1381889PA · Preferred Care
Other1406670PA · Aetna
Other100187PA · First Health
Other1915176NJ · Highmark Bs
Medicare PIN104142NJ
Other30035423PA · Keystone Mercy
Medicaid101695040PA
Medicare PIN102406PA
Other15876PA · Elder Health
Other1892627PA · Highmark Bs
Medicaid0069477NJ
Other101695040PA · Americhoice
Other2675838000NJ · Amerihealth
Other101659040PA · United Healthcare
Other1381889PA · Cigna
Other27807PA · Health Partners - North

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

Steven A Nissman 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 ID1850394099
PECOS Enrollment IDI20060809000057
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 15

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.
551 services462 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.
424 services409 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
147 services147 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
129 services90 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
127 services76 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
107 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Technician/Technologist (Optician)
699 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
Technician/Technologist (Optician)
699 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
Ophthalmology
699 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462

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 Steven Nissman's NPI number?

The NPI number for Steven Nissman is 1184659310. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Steven Nissman located?

Steven Nissman practices at 699 W Germantown Pike, Plymouth Meeting, PA 19462. The listed phone number is (610) 834-1800.

What is Steven Nissman's specialty?

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

Is Steven Nissman enrolled in Medicare?

Yes. Steven Nissman 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 Steven Nissman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Steven Nissman 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 Steven Nissman was last updated on August 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.