DR. LEILA RAFLA-DEMETRIOUS MD
NPI 1336236405
Ophthalmology - Glaucoma Specialist in New York, NY

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE, 11TH FLOOR, NEW YORK, NY 10021(646) 962-2020 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2025, Oct 21, 2023, Mar 7, 2023 (3 updates tracked since 2023).

About Dr. Leila Rafla-demetrious Md NPPES

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

DR. LEILA RAFLA-DEMETRIOUS MD (NPI 1336236405) is an individual glaucoma specialist in New York, New York, licensed in New York (199448) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of State University Of New York Downstate Medical Center (1993).

NPPES Registry Identity

NPI1336236405
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameDR. LEILA RAFLA-DEMETRIOUSCredential: MD
Location Address1305 YORK AVE, 11TH FLOORNew York, NY 10021-5663
Mailing Address1305 York Ave, 11th FloorNew York, NY 10021-5663 · (646) 962-2020
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1993
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1336236405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in NY · 199448
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
1305 YORK AVE, New York, NY 10021

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. Leila Rafla-demetrious 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 ID1951598358
PECOS Enrollment IDI20101210000827
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 14

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.
743 services554 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.
722 services530 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).
693 services566 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
445 services383 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.
320 services309 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.
310 services246 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Audiologist
1305 YORK AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021

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 Leila Rafla-demetrious's NPI number?

The NPI number for Leila Rafla-demetrious is 1336236405. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Leila Rafla-demetrious located?

Leila Rafla-demetrious practices at 1305 York Ave 11th Floor, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Leila Rafla-demetrious's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Leila Rafla-demetrious enrolled in Medicare?

Yes. Leila Rafla-demetrious 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.

Is Leila Rafla-demetrious affiliated with any hospitals?

According to CMS data, Leila Rafla-demetrious is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Leila Rafla-demetrious was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.