DR. MICHAEL SWERDIN M.D.
NPI 1295730273
Ophthalmology in Valley Stream, NY

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
70 E SUNRISE HWY STE 400, VALLEY STREAM, NY 11581(516) 374-4199 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2019, Mar 23, 2017 (2 updates tracked since 2017).

About Dr. Michael Swerdin M.d. NPPES

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

DR. MICHAEL SWERDIN M.D. (NPI 1295730273) is an individual ophthalmology provider in Valley Stream, New York, licensed in New York (201781) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Valley Stream, and is a graduate of State University Of Ny Upstate Medical University (1994).

NPPES Registry Identity

NPI1295730273
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL SWERDINCredential: M.D.
Location Address70 E SUNRISE HWY STE 400Valley Stream, NY 11581
Mailing Address825 E Gate Blvd Ste 111Garden City, NY 11530-2136 · (516) 804-5200 · Fax (516) 240-6540
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1994
Enumeration DateJune 16, 2005
Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration
NPI 1295730273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 201781
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.

70 E SUNRISE HWY STE 400, Valley Stream, NY 11581

Secondary Practice Location 1

Location 165 Roosevelt Ave, Ste 204Valley Stream, NY 11581-1106 · Phone (516) 374-4199 · Fax (516) 295-5303

Other Identifiers 1

Medicaid01884986NY

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 Swerdin 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 ID9436212537
PECOS Enrollment IDI20090115000724
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 2024 & 2026 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.
758 services739 patients
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.
379 services299 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.
203 services165 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).
173 services170 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.
149 services143 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.
90 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
70 E SUNRISE HWY STE 400
VALLEY STREAM, NY 11581
Ophthalmology
70 E SUNRISE HWY STE 400
VALLEY STREAM, NY 11581
Optometrist
70 E SUNRISE HWY STE 400
VALLEY STREAM, NY 11581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295730273, enumerated as an "individual" on June 16, 2005.

The provider is located at 70 E SUNRISE HWY STE 400 VALLEY STREAM, NY 11581 and the phone number is (516) 374-4199.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.