ROBERT CHARLES SERGOTT MD
NPI 1285634105
Ophthalmology - Neuro-ophthalmology in Philadelphia, PA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
840 WALNUT ST, SUITE 930, PHILADELPHIA, PA 19107(215) 928-3130(215) 592-1923 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Oct 20, 2017 (2 updates tracked since 2017).

About Robert Charles Sergott Md NPPES

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

ROBERT CHARLES SERGOTT MD (NPI 1285634105) is an individual neuro-ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD018980E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1975).

NPPES Registry Identity

NPI1285634105
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameROBERT CHARLES SERGOTTCredential: MD
Location Address840 WALNUT ST, SUITE 930Philadelphia, PA 19107-5109
Mailing Address840 Walnut St, Suite 930Philadelphia, PA 19107-5109 · (215) 928-3130 · Fax (215) 592-1923
Fax(215) 592-1923
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1975
Enumeration DateJuly 21, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1285634105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in PA · MD018980E
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD018980E (PA)
840 WALNUT ST, Philadelphia, PA 19107

Other Identifiers 3

Other0053049000PA · Independence Blue Cross
Medicaid000824033PA
Other004332PA · Highmark Blue Shield

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

Robert Charles Sergott Md 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 ID446208359
PECOS Enrollment IDI20050510000473
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.

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.
189 services118 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.
152 services131 patients
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.
149 services149 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
139 services136 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).
125 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

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.

Optometrist
840 WALNUT ST
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 930
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
840 WALNUT ST
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
840 WALNUT ST
PHILADELPHIA, PA 19107

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 Robert Sergott's NPI number?

The NPI number for Robert Sergott is 1285634105. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Robert Sergott located?

Robert Sergott practices at 840 Walnut St Suite 930, Philadelphia, PA 19107. The listed phone number is (215) 928-3130.

What is Robert Sergott's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Robert Sergott enrolled in Medicare?

Yes. Robert Sergott 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 Robert Sergott accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Sergott 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 Robert Sergott affiliated with any hospitals?

According to CMS data, Robert Sergott is affiliated with Thomas Jefferson University Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Robert Sergott was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.