DR. SPIRO COMBEST MD
NPI 1194934216
Ophthalmology in Westport, CT

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
88.78/100
CMS Quality Rating
129 KINGS HWY N, WESTPORT, CT 06880(203) 227-4113(203) 226-6718 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2021, Nov 17, 2020 (2 updates tracked since 2020).

About Dr. Spiro Combest Md NPPES

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

DR. SPIRO COMBEST MD (NPI 1194934216) is an individual ophthalmology provider in Westport, Connecticut, licensed in Connecticut (045296) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1194934216
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SPIRO COMBESTCredential: MD
Location Address129 KINGS HWY NWestport, CT 06880-2438
Mailing Address129 Kings Hwy NWestport, CT 06880-2438 · (203) 227-4113 · Fax (203) 226-6718
Fax(203) 226-6718
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1194934216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CT · 045296
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.
129 KINGS HWY N, Westport, CT 06880

Other Identifiers 1

Medicaid004394102CT

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. Spiro Combest 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 ID143315929
PECOS Enrollment IDI20071009000545
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 9

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.

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.
412 services371 patients
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.
360 services338 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.
209 services123 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
96 services96 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.
59 services34 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
59 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06880 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

88.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost62.63

Other Providers at the Same Location NPPES 16

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

Ophthalmology
129 KINGS HWY N
WESTPORT, CT 06880
Acupuncturist
129 KINGS HWY N
WESTPORT, CT 06880
Psychiatry & Neurology (Psychiatry)
129 KINGS HWY N
WESTPORT, CT 06880
Acupuncturist
129 KINGS HWY N, TOP LEVEL
WESTPORT, CT 06880
Family Medicine
129 KINGS HWY N
WESTPORT, CT 06880
Podiatrist (Foot & Ankle Surgery)
129 KINGS HWY N
WESTPORT, CT 06880
Family Medicine
129 KINGS HWY N
WESTPORT, CT 06880
Psychologist
129 KINGS HWY N
WESTPORT, CT 06880

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 Spiro Combest's NPI number?

The NPI number for Spiro Combest is 1194934216. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Spiro Combest located?

Spiro Combest practices at 129 Kings Hwy N, Westport, CT 06880. The listed phone number is (203) 227-4113.

What is Spiro Combest's specialty?

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

Is Spiro Combest enrolled in Medicare?

Yes. Spiro Combest 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 Spiro Combest accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Spiro Combest 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 Spiro Combest was last updated on November 16, 2021. 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.