DR. LEONARD H. GINSBURG M.D.
NPI 1316947740
Ophthalmology in Springfield, PA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 W SPROUL ROAD, HEALTHPLEX PAVILION II - SUITE 100, SPRINGFIELD, PA 19064(610) 690-4900(610) 690-1659 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2019, Jul 16, 2018, Mar 13, 2017 (3 updates tracked since 2017).

About Dr. Leonard H. Ginsburg M.d. NPPES

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

DR. LEONARD H. GINSBURG M.D. (NPI 1316947740) is an individual ophthalmology provider in Springfield, Pennsylvania, licensed in Pennsylvania (MD041611L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1984).

NPPES Registry Identity

NPI1316947740
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LEONARD H. GINSBURGCredential: M.D.
Location Address100 W SPROUL ROAD, HEALTHPLEX PAVILION II - SUITE 100Springfield, PA 19064
Mailing Address100 W Sproul Road, Healthplex Pavilion Ii - Suite 100Springfield, PA 19064-2033 · (610) 690-4900 · Fax (610) 690-4910
Fax(610) 690-1659
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1984
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 24, 20193 updates tracked since enumeration
NPI 1316947740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD041611L
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 ListedSpecialistTaxonomy 174400000X · License MD041611L (PA)
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD041611L (PA)
100 W SPROUL ROAD, Springfield, PA 19064

Other Identifiers 1

Medicaid0012219820010PA

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

Dr. Leonard H. Ginsburg 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 ID8022913680
PECOS Enrollment IDI20120222000655
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 17

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
8,880 services32 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.
408 services154 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
271 services45 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.
135 services74 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.
93 services81 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
90 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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.

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

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.

Family Medicine
100 W SPROUL ROAD, SUITE 120
SPRINGFIELD, PA 19064
Optometrist (Low Vision Rehabilitation)
100 W SPROUL ROAD, SUITE 125
SPRINGFIELD, PA 19064
Ophthalmology
100 W SPROUL ROAD, HEALTHPLEX PAVILION II - SUITE 100
SPRINGFIELD, PA 19064

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 Leonard Ginsburg's NPI number?

The NPI number for Leonard Ginsburg is 1316947740. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Leonard Ginsburg located?

Leonard Ginsburg practices at 100 W Sproul Road Healthplex Pavilion II - Suite 100, Springfield, PA 19064. The listed phone number is (610) 690-4900.

What is Leonard Ginsburg's specialty?

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

Is Leonard Ginsburg enrolled in Medicare?

Yes. Leonard Ginsburg 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 Leonard Ginsburg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Leonard Ginsburg 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 Leonard Ginsburg was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.