DR. SOMYA CHOWDHARY M.D.
NPI 1265984504
Ophthalmology in Pittsburgh, PA

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4401 PENN AVE, 5TH FLOOR, FACULTY PAVILION, PITTSBURGH, PA 15224(412) 692-9896(412) 692-7220 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Somya Chowdhary M.d. NPPES

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

DR. SOMYA CHOWDHARY M.D. (NPI 1265984504) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (LT000759) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1265984504
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SOMYA CHOWDHARYCredential: M.D.
Location Address4401 PENN AVE, 5TH FLOOR, FACULTY PAVILIONPittsburgh, PA 15224-1334
Mailing Address4401 Penn Ave, 5th Floor, Faculty PavilionPittsburgh, PA 15224-1334 · (412) 692-9896 · Fax (412) 692-7220
Fax(412) 692-7220
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 3, 2016
NPI 1265984504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · LT000759
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.
4401 PENN AVE, Pittsburgh, PA 15224

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

Dr. Somya Chowdhary 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 ID1456634369
PECOS Enrollment IDI20221110001586
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 8

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 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.
235 services180 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).
175 services146 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.
171 services143 patients
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.
101 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 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.
24 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224

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 Somya Chowdhary's NPI number?

The NPI number for Somya Chowdhary is 1265984504. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Somya Chowdhary located?

Somya Chowdhary practices at 4401 Penn Ave 5th Floor, Faculty Pavilion, Pittsburgh, PA 15224. The listed phone number is (412) 692-9896.

What is Somya Chowdhary's specialty?

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

Is Somya Chowdhary enrolled in Medicare?

Yes. Somya Chowdhary 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 Somya Chowdhary accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Somya Chowdhary 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 Somya Chowdhary affiliated with any hospitals?

According to CMS data, Somya Chowdhary is affiliated with Uniontown Hospital, West Virginia University Hospitals, Inc, United Hospital Center, Inc, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Somya Chowdhary was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.