JEFFREY M SUNDSTROM M.D.
NPI 1205094208
Ophthalmology in Hershey, PA

Q: What is Jeffrey Sundstrom's NPI number?

The NPI number for Jeffrey Sundstrom is 1205094208. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Jeffrey Sundstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Sundstrom was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-5690(717) 531-5009 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jeffrey M Sundstrom M.d. NPPES

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

JEFFREY M SUNDSTROM M.D. (NPI 1205094208) is an individual ophthalmology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD450629) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Pennsylvania State University College Of Medicine (2008).

NPPES Registry Identity

NPI1205094208

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJEFFREY M SUNDSTROMCredential: M.D.

Location Address500 UNIVERSITY DRHershey, PA 17033

Mailing Address51 North 39th StreetPhiladelphia, PA 19104-2640 · (717) 350-4578

Phone(717) 531-5690

Fax(717) 531-5009

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2008

Enumeration DateMay 27, 2008

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1205094208 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 · MD450629

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 ListedInternal MedicineTaxonomy 207R00000X · License MT193104 (PA)

500 UNIVERSITY DR, Hershey, PA 17033

Open in Google Maps ↗

Other Identifiers 2

Medicaid1028974160001PA

Other331432PA · Medicare

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

Jeffrey M Sundstrom 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 ID42467292

PECOS Enrollment IDI20140218002033

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 3

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.

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.

92 services52 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.

56 services47 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

44 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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.

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.

71.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

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

95%22 patients4/55-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 20

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

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 Jeffrey Sundstrom's NPI number?

The NPI number for Jeffrey Sundstrom is 1205094208. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Jeffrey Sundstrom located?

Jeffrey Sundstrom practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-5690.

What is Jeffrey Sundstrom's specialty?

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

Is Jeffrey Sundstrom enrolled in Medicare?

Yes. Jeffrey Sundstrom 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.

Is Jeffrey Sundstrom affiliated with any hospitals?

According to CMS data, Jeffrey Sundstrom is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Sundstrom was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.