DR. SUDEEP PRAMANIK MD
NPI 1225020159
Ophthalmology in Towson, MD

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
90.35/100
CMS Quality Rating
40 YORK RD STE 500, TOWSON, MD 21204(410) 616-9952(443) 927-7515 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2023, Mar 4, 2020 (2 updates tracked since 2020).

About Dr. Sudeep Pramanik Md NPPES

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

DR. SUDEEP PRAMANIK MD (NPI 1225020159) is an individual ophthalmology provider in Towson, Maryland, licensed in Pennsylvania (MD428529) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Baylor College Of Medicine (2001).

NPPES Registry Identity

NPI1225020159
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SUDEEP PRAMANIKCredential: MD
Location Address40 YORK RD STE 500Towson, MD 21204-5243
Mailing Address40 York Rd Ste 500Towson, MD 21204-5243 · (410) 616-9952 · Fax (443) 927-7515
Fax(443) 927-7515
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2001
Enumeration DateAugust 17, 2005
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1225020159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD428529 Licensed in IA · 35997 Licensed in MD · D0067362
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.

40 YORK RD STE 500, Towson, MD 21204

Other Identifiers 2

Medicaid1016496560002PA
Other1346488343Group Npi

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. Sudeep Pramanik 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 ID9638107121
PECOS Enrollment IDI20060621000311, I20090319000568
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 20

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
645 services339 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.
383 services383 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.
351 services308 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.
338 services200 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
314 services214 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.
295 services196 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

90.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost67.84

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.

Optometrist
40 YORK RD STE 500
TOWSON, MD 21204
Ophthalmology
40 YORK RD STE 500
TOWSON, MD 21204
Optometrist
40 YORK RD STE 500
TOWSON, MD 21204

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 Sudeep Pramanik's NPI number?

The NPI number for Sudeep Pramanik is 1225020159. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Sudeep Pramanik located?

Sudeep Pramanik practices at 40 York Rd Ste 500, Towson, MD 21204. The listed phone number is (410) 616-9952.

What is Sudeep Pramanik's specialty?

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

Is Sudeep Pramanik enrolled in Medicare?

Yes. Sudeep Pramanik 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 Sudeep Pramanik affiliated with any hospitals?

According to CMS data, Sudeep Pramanik is affiliated with Wellspan York Hospital and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Sudeep Pramanik was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.