STEVEN M PLOTYCIA MD
NPI 1235218355
Ophthalmology in New York, NY

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
205 WEST END AVE, #1P, NEW YORK, NY 10023(212) 724-4430(212) 724-6938 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven M Plotycia Md NPPES

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

STEVEN M PLOTYCIA MD (NPI 1235218355) is an individual ophthalmology provider in New York, New York, licensed in New York (154825) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1235218355
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN M PLOTYCIACredential: MD
Location Address205 WEST END AVE, #1PNew York, NY 10023
Mailing Address205 West End Ave, #1pNew York, NY 10023 · (212) 724-4430 · Fax (212) 724-6938
Fax(212) 724-6938
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateNovember 2, 2006
Last NPPES UpdateJanuary 29, 2014
NPI 1235218355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 154825
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.
205 WEST END AVE, New York, NY 10023

Other Identifiers 3

Medicare UPINA63842
Other1235218355NY · Npi
Medicare PIN69D742NY

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 M Plotycia 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 ID7315917564
PECOS Enrollment IDI20040814000194
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 6

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.
1,065 services833 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
609 services544 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
411 services337 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.
96 services78 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.
36 services36 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.14
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%129 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,597 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
97%29 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
91%34 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,440 patients
Patients totalRate: 0% · 1,440 patients
0%1,440 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 2

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

Internal Medicine (Geriatric Medicine)
205 WEST END AVE, 8P
NEW YORK, NY 10023
Dentist (General Practice)
205 WEST END AVE, SUITE 1F
NEW YORK, NY 10023

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 Plotycia's NPI number?

The NPI number for Steven Plotycia is 1235218355. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Steven Plotycia located?

Steven Plotycia practices at 205 West End Ave #1p, New York, NY 10023. The listed phone number is (212) 724-4430.

What is Steven Plotycia's specialty?

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

Is Steven Plotycia enrolled in Medicare?

Yes. Steven Plotycia 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.

When was this NPI record last updated?

The NPPES record for Steven Plotycia was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.