MICHAEL A NEGREY MD
NPI 1225103575
Ophthalmology in Havertown, PA

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
88.77/100
CMS Quality Rating
56 W EAGLE RD, HAVERTOWN, PA 19083(610) 449-4336(610) 446-1735 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael A Negrey Md NPPES

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

MICHAEL A NEGREY MD (NPI 1225103575) is an individual ophthalmology provider in Havertown, Pennsylvania, licensed in Pennsylvania (MD421244) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1225103575
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL A NEGREYCredential: MD
Location Address56 W EAGLE RDHavertown, PA 19083-1447
Mailing Address56 W Eagle RdHavertown, PA 19083-1447 · (610) 449-4336 · Fax (610) 446-1735
Fax(610) 446-1735
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateNovember 22, 2006
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
NPI 1225103575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD421244
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.
56 W EAGLE RD, Havertown, PA 19083

Other Identifiers 1

Medicaid1025295720001PA

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

Michael A Negrey 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 ID7810950938
PECOS Enrollment IDI20101203000493
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 19

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.
1,273 services1,146 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.
871 services739 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
436 services414 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.
348 services346 patients
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.
315 services196 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.
283 services183 patients

Hospital Affiliations CMS Care Compare 3

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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.

88.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability97
Improvement Activities20
Cost90.07

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
72%47 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%447 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%108 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,411 patients5/55-star benchmark: 100%
e-Prescribing
94%617 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,150 patients
Patients screened: 99% · 1,150 patients
88%58 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,084 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%26 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,498 patients
Patients totalRate: 0% · 2,498 patients
0%2,498 patients5/55-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 8

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

Optometrist
56 W EAGLE RD
HAVERTOWN, PA 19083
Technician/Technologist (Optician)
56 W EAGLE RD
HAVERTOWN, PA 19083
Optometrist
56 W EAGLE RD
HAVERTOWN, PA 19083
Optometrist
56 W EAGLE RD
HAVERTOWN, PA 19083
Ophthalmology
56 W EAGLE RD
HAVERTOWN, PA 19083
Optometrist
56 W EAGLE RD
HAVERTOWN, PA 19083
Optometrist
56 W EAGLE RD
HAVERTOWN, PA 19083
Prosthetic/Orthotic Supplier
56 W EAGLE RD
HAVERTOWN, PA 19083

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 Michael Negrey's NPI number?

The NPI number for Michael Negrey is 1225103575. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Michael Negrey located?

Michael Negrey practices at 56 W Eagle Rd, Havertown, PA 19083. The listed phone number is (610) 449-4336.

What is Michael Negrey's specialty?

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

Is Michael Negrey enrolled in Medicare?

Yes. Michael Negrey 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 Michael Negrey accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Michael Negrey 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.

Is Michael Negrey affiliated with any hospitals?

According to CMS data, Michael Negrey is affiliated with Bryn Mawr Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Negrey was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.