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GEORGE PRONESTI M.D.
NPI 1275649923
Ophthalmology in King Of Prussia, PA

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
200 MALL BLVD, KING OF PRUSSIA, PA 19406(610) 337-1580(610) 337-2133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George Pronesti M.d. NPPES

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

GEORGE PRONESTI M.D. (NPI 1275649923) is an individual ophthalmology provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (MD056009L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1985).

NPPES Registry Identity

NPI1275649923
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGEORGE PRONESTICredential: M.D.
Location Address200 MALL BLVDKing Of Prussia, PA 19406-2902
Mailing Address200 Mall BlvdKing Of Prussia, PA 19406-2902 · (610) 337-1580 · Fax (610) 337-2133
Phone(610) 337-1580
Fax(610) 337-2133
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1985
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275649923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD056009L
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.
200 MALL BLVD, King Of Prussia, PA 19406
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Other Identifiers 3

Medicare ID-Type Unspecified167171PR
Medicare UPINE56827
Medicaid001644218002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

George Pronesti 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 ID7810944667
PECOS Enrollment IDI20051101000081
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.

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.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.89
Promoting Interoperability100
Improvement Activities40
Cost69.39

Other Providers at the Same Location NPPES 13

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

ARIANN DERSHAW BERNSTEIN OD
Optometrist
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
TLC MANAGEMENT (DELAWARE VALLEY), LLC
Clinic/Center
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
DR. CARI DANIELLE CINAMELLA O.D.
Optometrist
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
DEL VAL ASC LLC
Clinic/Center (Ambulatory Surgical)
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
DR. AYAN CHATTERJEE M.D.
Ophthalmology (Glaucoma Specialist)
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (866) 407-1852
DELAWARE VALLEY VISION ASSOCIATES GROUP PRACTICE LLC
Optometrist
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
DON MILLER OD
Optometrist
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580
SHARA LEVINE PA-C
Physician Assistant (Medical)
200 MALL BLVD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-3195

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 George Pronesti's NPI number?

The NPI number for George Pronesti is 1275649923. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is George Pronesti located?

George Pronesti practices at 200 Mall Blvd, King Of Prussia, PA 19406. The listed phone number is (610) 337-1580.

What is George Pronesti's specialty?

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

Is George Pronesti enrolled in Medicare?

Yes. George Pronesti 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 George Pronesti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list George Pronesti 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 George Pronesti was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.