SARAH E. THORNTON M.D.
NPI 1316393994
Ophthalmology in Philadelphia, PA

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
840 WALNUT ST STE 930, PHILADELPHIA, PA 19107(215) 928-3130(215) 592-1923 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, Jun 13, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Sarah E. Thornton M.d. NPPES

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

SARAH E. THORNTON M.D. (NPI 1316393994) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD470397) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).

NPPES Registry Identity

NPI1316393994
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSARAH E. THORNTONCredential: M.D.
Location Address840 WALNUT ST STE 930Philadelphia, PA 19107-5109
Mailing Address840 Walnut St Ste 1230Philadelphia, PA 19107-5109 · (215) 440-3160 · Fax (215) 928-3465
Fax(215) 592-1923
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2016
Enumeration DateMay 12, 2016
Last NPPES UpdateAugust 3, 20205 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
NPI 1316393994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD470397
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 · Neuro-ophthalmologyTaxonomy 207WX0109X · License MD470397 (PA)
840 WALNUT ST STE 930, Philadelphia, PA 19107

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

Sarah E. Thornton 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 ID2264724186
PECOS Enrollment IDI20200609000343
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 9

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.

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.
380 services210 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
377 services222 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).
266 services194 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
146 services94 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.
105 services91 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients

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 4

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

Ophthalmology (Neuro-ophthalmology)
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Ophthalmology (Neuro-ophthalmology)
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 930
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 Sarah Thornton's NPI number?

The NPI number for Sarah Thornton is 1316393994. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Sarah Thornton located?

Sarah Thornton practices at 840 Walnut St Ste 930, Philadelphia, PA 19107. The listed phone number is (215) 928-3130.

What is Sarah Thornton's specialty?

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

Is Sarah Thornton enrolled in Medicare?

Yes. Sarah Thornton 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 Sarah Thornton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sarah Thornton 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 Sarah Thornton was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.