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DR. MICHAEL ANTHONY CUSUMANO O.D.
NPI 1285612036
Optometrist in Tampa, FL

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
99.16/100
CMS Quality Rating
178 E DAVIS BLVD, TAMPA, FL 33606(813) 300-7839(813) 425-9342 Get Directions Write a Review

NPPES record last updated: February 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2017, Nov 16, 2015 (2 updates tracked since 2015).

About Dr. Michael Anthony Cusumano O.d. NPPES

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

DR. MICHAEL ANTHONY CUSUMANO O.D. (NPI 1285612036) is an individual optometrist in Tampa, Florida, licensed in Florida (2471) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1990).

NPPES Registry Identity

NPI1285612036
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL ANTHONY CUSUMANOCredential: O.D.
Location Address178 E DAVIS BLVDTampa, FL 33606-3514
Mailing Address178 E Davis BlvdTampa, FL 33606-3514 · (813) 300-7839 · Fax (813) 425-9342
Phone(813) 300-7839
Fax(813) 425-9342
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1990
Enumeration DateJanuary 3, 2006
Last NPPES UpdateFebruary 18, 20172 updates tracked since enumeration
✔ NPI 1285612036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · 2471
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
178 E DAVIS BLVD, Tampa, FL 33606
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Other Identifiers 4

Medicare PIN20251UFL
Medicaid620343400FL
Medicare PIN20251TFL
Medicare UPIN14263FL

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 Anthony Cusumano O.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 ID9032216064
PECOS Enrollment IDI20070525000218
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 12

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
744 services590 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
620 services510 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.
369 services369 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
229 services175 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
194 services183 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
84 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

99.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.33
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%66 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.

PALMTREE1, LLC
Optometrist
178 E DAVIS BLVD
TAMPA, FL 33606
Hillsborough County (813) 300-7839
MAC UNLIMITED LLC
Assisted Living Facility
178 E DAVIS BLVD
TAMPA, FL 33606
Hillsborough County (813) 300-7839

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 Cusumano's NPI number?

The NPI number for Michael Cusumano is 1285612036. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Michael Cusumano located?

Michael Cusumano practices at 178 E Davis Blvd, Tampa, FL 33606. The listed phone number is (813) 300-7839.

What is Michael Cusumano's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Cusumano enrolled in Medicare?

Yes. Michael Cusumano 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 Michael Cusumano was last updated on February 18, 2017. 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.