HOWARD J KUSHNICK MD
NPI 1326093006
Ophthalmology in Allentown, PA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
70.1/100
CMS Quality Rating
400 N 17TH ST, STE 101, ALLENTOWN, PA 18104(610) 433-0450(610) 433-4655 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Howard J Kushnick Md NPPES

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

HOWARD J KUSHNICK MD (NPI 1326093006) is an individual ophthalmology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD067502L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1991).

NPPES Registry Identity

NPI1326093006
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHOWARD J KUSHNICKCredential: MD
Location Address400 N 17TH ST, STE 101Allentown, PA 18104
Mailing Address825 E Gate Blvd Ste 111Garden City, NY 11530-2136 · (516) 804-5200 · Fax (631) 309-6461
Fax(610) 433-4655
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1991
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
NPI 1326093006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD067502L
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.
400 N 17TH ST, Allentown, PA 18104

Other Identifiers 1

Medicaid01730002PA

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

Howard J Kushnick 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 ID5395768477
PECOS Enrollment IDI20110331000270
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 20

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.

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).
1,657 services1,166 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.
1,474 services1,077 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.
1,368 services895 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.
1,272 services1,085 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
1,024 services962 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
127 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

70.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.08
Promoting Interoperability87
Improvement Activities40
Cost27.09

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%21 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%20 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
92%26 patients4/55-star benchmark: 95%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Pediatric Endocrinology)
400 N 17TH ST, SUITE 201
ALLENTOWN, PA 18104
Nurse Anesthetist, Certified Registered
400 N 17TH ST
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, SUITE 200
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, SUITE 200
ALLENTOWN, PA 18104
Nurse Anesthetist, Certified Registered
400 N 17TH ST
ALLENTOWN, PA 18104
Pediatrics (Adolescent Medicine)
400 N 17TH ST, SUITE 202
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, STE 101
ALLENTOWN, PA 18104
Social Worker (Clinical)
400 N 17TH ST, SUITE 202
ALLENTOWN, PA 18104

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 Howard Kushnick's NPI number?

The NPI number for Howard Kushnick is 1326093006. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Howard Kushnick located?

Howard Kushnick practices at 400 N 17th St Ste 101, Allentown, PA 18104. The listed phone number is (610) 433-0450.

What is Howard Kushnick's specialty?

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

Is Howard Kushnick enrolled in Medicare?

Yes. Howard Kushnick 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 Howard Kushnick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Howard Kushnick 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 Howard Kushnick was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.