DR. MICHAEL E. MARGULIS M.D.
NPI 1275510893
Ophthalmology in Cedarhurst, NY

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
123 GROVE AVE, SUITE 214, CEDARHURST, NY 11516(516) 374-6900(516) 374-8632 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael E. Margulis M.d. NPPES

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

DR. MICHAEL E. MARGULIS M.D. (NPI 1275510893) is an individual ophthalmology provider in Cedarhurst, New York, licensed in New York (162080) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1981).

NPPES Registry Identity

NPI1275510893
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL E. MARGULISCredential: M.D.
Location Address123 GROVE AVE, SUITE 214Cedarhurst, NY 11516-2322
Mailing Address123 Grove Ave, Suite 214Cedarhurst, NY 11516-2322 · (516) 374-6900 · Fax (516) 374-8632
Fax(516) 374-8632
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1981
Enumeration DateDecember 23, 2005
Last NPPES UpdateSeptember 8, 2010
NPI 1275510893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 162080
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.

123 GROVE AVE, Cedarhurst, NY 11516

Other Identifiers 3

Medicaid00890102NY
Medicare UPINA62731NY
Medicare ID-Type Unspecified43D451NY

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. Michael E. Margulis 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 ID4688858806
PECOS Enrollment IDI20111213000012
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 14

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.
406 services384 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.
341 services240 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.
330 services330 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.
319 services305 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
305 services305 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
261 services194 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11516 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Neurology)
123 GROVE AVE, STE 100
CEDARHURST, NY 11516
Social Worker (Clinical)
123 GROVE AVE, SUITE 202
CEDARHURST, NY 11516
Clinic/Center (Rehabilitation)
123 GROVE AVE, SUITE 212
CEDARHURST, NY 11516
Ophthalmology
123 GROVE AVE
CEDARHURST, NY 11516
Occupational Therapist
123 GROVE AVE
CEDARHURST, NY 11516
Ophthalmology
123 GROVE AVE, SUITE 214
CEDARHURST, NY 11516
Psychiatry & Neurology (Psychiatry)
123 GROVE AVE, SUITE 206
CEDARHURST, NY 11516
Psychiatry & Neurology (Addiction Psychiatry)
123 GROVE AVE, SUITE 210
CEDARHURST, NY 11516

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 Margulis's NPI number?

The NPI number for Michael Margulis is 1275510893. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Michael Margulis located?

Michael Margulis practices at 123 Grove Ave Suite 214, Cedarhurst, NY 11516. The listed phone number is (516) 374-6900.

What is Michael Margulis's specialty?

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

Is Michael Margulis enrolled in Medicare?

Yes. Michael Margulis 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 Margulis accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Michael Margulis 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.

When was this NPI record last updated?

The NPPES record for Michael Margulis was last updated on September 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.