PHILIP R NISWANDER M.D.
NPI 1306844550
Ophthalmology in Williamsville, NY

Active since July 12, 2005PECOS Enrolled
85.65/100
CMS Quality Rating
40 N UNION RD, NISWANDER EYE CENTER, WILLIAMSVILLE, NY 14221(716) 634-4441(716) 634-3174 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Philip R Niswander M.d. NPPES

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

PHILIP R NISWANDER M.D. (NPI 1306844550) is an individual ophthalmology provider in Williamsville, New York, licensed in New York (142714) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306844550
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePHILIP R NISWANDERCredential: M.D.
Location Address40 N UNION RD, NISWANDER EYE CENTERWilliamsville, NY 14221-5339
Mailing Address40 N Union RdWilliamsville, NY 14221-5339 · (716) 634-4441 · Fax (716) 634-3174
Fax(716) 634-3174
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
NPI 1306844550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 142714
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.

40 N UNION RD, Williamsville, NY 14221

Other Identifiers 1

Medicaid00766289NY

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 (PECOS)

Philip R Niswander M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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 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.
414 services385 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.
85 services81 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.
70 services67 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.
56 services46 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).
54 services53 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES 11

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

Dentist (Oral and Maxillofacial Surgery)
40 N UNION RD, SUITE 2
WILLIAMSVILLE, NY 14221
Dentist (Oral and Maxillofacial Surgery)
40 N UNION RD, SUITE 2
WILLIAMSVILLE, NY 14221
Dentist (Pediatric Dentistry)
40 N UNION RD
WILLIAMSVILLE, NY 14221
Optometrist
40 N UNION RD
WILLIAMSVILLE, NY 14221
Technician/Technologist (Optician)
40 N UNION RD
BUFFALO, NY 14221
Technician/Technologist (Optician)
40 N UNION RD
BUFFALO, NY 14221
Dentist (Pediatric Dentistry)
40 N UNION RD, SUITE 1
WILLIAMSVILLE, NY 14221
Ophthalmology
40 N UNION RD, NISWANDER EYE CENTER
WILLIAMSVILLE, NY 14221

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 Philip Niswander's NPI number?

The NPI number for Philip Niswander is 1306844550. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Philip Niswander located?

Philip Niswander practices at 40 N Union Rd Niswander Eye Center, Williamsville, NY 14221. The listed phone number is (716) 634-4441.

What is Philip Niswander's specialty?

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

Is Philip Niswander enrolled in Medicare?

Yes. Philip Niswander is registered in the Medicare PECOS enrollment system.

What insurance does Philip Niswander accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Philip Niswander 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 Philip Niswander was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.