DIMITRIOS N SISMANIS MD
NPI 1295962710
Ophthalmology in Richmond, VA

Q: What is Dimitrios Sismanis's NPI number?

The NPI number for Dimitrios Sismanis is 1295962710. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Q: What is Dimitrios Sismanis's specialty?

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

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment

76.23/100

CMS Quality Rating

1300 WILKES RIDGE DR STE 100, RICHMOND, VA 23233(804) 934-9344(804) 934-9034 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2022, Oct 10, 2022, May 13, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Dimitrios N Sismanis Md NPPES

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

DIMITRIOS N SISMANIS MD (NPI 1295962710) is an individual ophthalmology provider in Richmond, Virginia, licensed in Virginia (0101258198) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1295962710

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDIMITRIOS N SISMANISCredential: MD

Location Address1300 WILKES RIDGE DR STE 100Richmond, VA 23233-7963

Mailing Address1300 Wilkes Ridge Dr Ste 100Richmond, VA 23233-7963 · (804) 934-9344 · Fax (804) 934-9034

Phone(804) 934-9344

Fax(804) 934-9034

Sole ProprietorNo

Medical School CMSVirginia Commonwealth Univ School Of DentistryGraduated 2009

Enumeration DateJune 11, 2009

Last NPPES UpdateAugust 19, 20254 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1295962710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101258198

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.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 0101258198 (VA)

1300 WILKES RIDGE DR STE 100, Richmond, VA 23233

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Secondary Practice Location 1

Location 11300 Wilkes Ridge Dr Ste 100Richmond, VA 23233-7963 · Phone (804) 934-9344 ext. 705 · Fax (804) 934-9034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dimitrios N Sismanis 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 ID9133356603

PECOS Enrollment IDI20150730012100

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.

Medicare Billing Reassignments

Medicare enrollment records show Dimitrios Sismanis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Oculofacial Surgeons

Same address

Specialist

1300 WILKES RIDGE DR STE 100
Richmond, VA 23233

Reassigned Medicare billing, Virginia enrollment

NPI 1407913395 (804) 934-9344

Mcv Associated Physicians

15 mi

Anesthesiology

1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298

Reassigned Medicare billing, Virginia enrollment
2,481 clinicians in this Medicare group

NPI 1710959457 (804) 828-8707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 28

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

8,695 services33 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.

839 services761 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.

577 services577 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.

348 services228 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

299 services293 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

202 services176 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

96 services94 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

95 services95 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

92 services92 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

84 services83 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

83 services33 patients

Removal of over 1/4 of eyelid margin and repair of eyelid 67966

This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.

70 services66 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

31 services31 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

29 services27 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

23 services23 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

23 services23 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

21 services18 patients

Suture repair of turning-inward eyelid defect 67921

Suture repair of an inward-turning eyelid defect is a procedure to correct a condition where the eyelid rolls inward, causing discomfort. A surgeon makes a small incision and uses sutures to reposition the eyelid, relieving irritation and improving eye health.

19 services19 patients

Snip incision of tear duct at inner corner of eye 68440

This procedure involves making a small cut in your tear duct, located at the inner corner of your eye. It's typically done to relieve blockage, helping tears drain properly from your eye. It's a common, quick procedure with minimal discomfort.

18 services18 patients

Reconstruction of eyelid margin 67950

Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.

17 services16 patients

Biopsy of eyelid 67810

A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.

16 services16 patients

Snip incision of tear duct at inner corner of eye 68440

16 services16 patients

Incision and drainage of abscess of eyelid 67700

Incision and drainage of an eyelid abscess is a procedure to treat a pus-filled lump near the eye. A healthcare professional makes a small cut in the abscess to drain the pus. This helps to relieve pressure, reduce pain, and speed up healing. Local anesthesia is used for comfort.

14 services14 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.

14 services11 patients

Repair of eyelid lining with graft from external eye 68320

This procedure involves fixing the inner lining of your eyelid. A graft, or a piece of tissue, from the external part of your eye is used for repair. It helps restore normal eyelid function and appearance.

13 services13 patients

Removal of growth of eyelid 67840

12 services12 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

11 services11 patients

Reconstruction of lower eyelid by transfer of eyelid tissue from opposite eyelid 67973

This is a procedure where tissue from one eyelid is transferred to reconstruct the lower eyelid. It's often done when there's damage or disease affecting the lower eyelid. The transferred tissue helps restore function and appearance to the affected eyelid.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490066

Location100 Sentara CircleWilliamsburg, VA 23188 · James City County

Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490130

Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23233 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

76.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.58

Promoting Interoperability

100

Improvement Activities

Cost

56.18

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.

VIRGINIA OCULOFACIAL SURGEONS

Specialist

1300 WILKES RIDGE DR STE 100
RICHMOND, VA 23233

Henrico County (804) 934-9344

JAMES RIVER RETINA PLLC

Ophthalmology (Retina Specialist)

1300 WILKES RIDGE DR STE 100
RICHMOND, VA 23233

Henrico County (804) 317-2441

INFUSION THERAPY OF VIRGINIA LLC

Surgery (Surgical Critical Care)

1300 WILKES RIDGE DR STE 100
RICHMOND, VA 23233

Henrico County (508) 944-3424

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 Dimitrios Sismanis's NPI number?

The NPI number for Dimitrios Sismanis is 1295962710. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Dimitrios Sismanis located?

Dimitrios Sismanis practices at 1300 Wilkes Ridge Dr Ste 100, Richmond, VA 23233. The listed phone number is (804) 934-9344.

What is Dimitrios Sismanis's specialty?

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

Is Dimitrios Sismanis enrolled in Medicare?

Yes. Dimitrios Sismanis 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.

Which organizations bill Medicare for Dimitrios Sismanis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dimitrios Sismanis reassigns Medicare benefits to 2 organizations: Virginia Oculofacial Surgeons (Richmond, VA) and Mcv Associated Physicians (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dimitrios Sismanis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dimitrios Sismanis accept?

Health plans from Oscar Health list Dimitrios Sismanis 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 Dimitrios Sismanis affiliated with any hospitals?

According to CMS data, Dimitrios Sismanis is affiliated with Sentara Williamsburg Regional Medical Center and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Dimitrios Sismanis was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.