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DR. AJAY SONI M.D.
NPI 1245354109
Ophthalmology in Hershey, PA

Active since March 18, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DRIVE, HU19, PENN STATE HERSHEY MEDICAL CENTER, OPHTHALMOLOGY DEPT, HERSHEY, PA 17033(717) 531-8783 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Ajay Soni M.d. NPPES

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

DR. AJAY SONI M.D. (NPI 1245354109) is an individual ophthalmology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD436028) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1245354109
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AJAY SONICredential: M.D.
Location Address500 UNIVERSITY DRIVE, HU19, PENN STATE HERSHEY MEDICAL CENTER, OPHTHALMOLOGY DEPTHershey, PA 17033
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-8783
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateMarch 18, 2007
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1245354109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in PA · MD436028✔ Licensed in IN · 01065095A✔ Licensed in MD · D0069495
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.
500 UNIVERSITY DRIVE, HU19, Hershey, PA 17033
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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. Ajay Soni 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 ID1850468034
PECOS Enrollment IDI20120327000195
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

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

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
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES

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

GEORGE C PAPACHRISTOU M.D.
Ophthalmology
500 UNIVERSITY DRIVE, HU19, UPC 1, SUITE 800
HERSHEY, PA 17033
Dauphin County (717) 531-8783

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 Ajay Soni's NPI number?

The NPI number for Ajay Soni is 1245354109. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Ajay Soni located?

Ajay Soni practices at 500 University Drive, Hu19 Penn State Hershey Medical Center, Ophthalmology Dept, Hershey, PA 17033. The listed phone number is (717) 531-8783.

What is Ajay Soni's specialty?

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

Is Ajay Soni enrolled in Medicare?

Yes. Ajay Soni 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 Ajay Soni affiliated with any hospitals?

According to CMS data, Ajay Soni is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Ajay Soni was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.