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ALEXANDER DEMIDENKO D.O.
NPI 1356542591
Ophthalmology in Far Rockaway, NY

Active since May 29, 2007PECOS Enrolled
2004 SEAGIRT BLVD, BASEMENT FLOOR, FAR ROCKAWAY, NY 11691(718) 868-8668(718) 868-8611 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexander Demidenko D.o. NPPES

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

ALEXANDER DEMIDENKO D.O. (NPI 1356542591) is an individual ophthalmology provider in Far Rockaway, New York, licensed in New York (249146) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).

NPPES Registry Identity

NPI1356542591
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALEXANDER DEMIDENKOCredential: D.O.
Location Address2004 SEAGIRT BLVD, BASEMENT FLOORFar Rockaway, NY 11691-2802
Mailing Address2004 Seagirt Blvd Bsmt FloorFar Rockaway, NY 11691-2802 · (810) 444-9183
Phone(718) 868-8668
Fax(718) 868-8611
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateMay 29, 2007
Last NPPES UpdateMarch 20, 2019
✔ NPI 1356542591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 249146
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.
2004 SEAGIRT BLVD, Far Rockaway, NY 11691
Open in Google Maps ↗

Other Identifiers 2

Other249146NY · License
Medicaid03195782NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Demidenko D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204920614
PECOS Enrollment IDI20110303000647
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexander Demidenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Island Ophthalmology & Eye Surgery, P. C.
0.1 mi
Ophthalmology
1731 SEAGIRT BLVD
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
NPI 1255646212 (718) 868-8668

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

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.
299 services201 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.
188 services127 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
120 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 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.
72 services42 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.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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%29 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 4

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

M&L MEDICAL SERVICES. P.C.
Internal Medicine
2004 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8620
ABIM MEDICAL PC
Internal Medicine
2004 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8668
SEAGIRT MEDICAL GROUP
Internal Medicine
2004 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8668
DR. MAYA RANKOVA M.D.
Internal Medicine
2004 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8668

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 Alexander Demidenko's NPI number?

The NPI number for Alexander Demidenko is 1356542591. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Alexander Demidenko located?

Alexander Demidenko practices at 2004 Seagirt Blvd Basement Floor, Far Rockaway, NY 11691. The listed phone number is (718) 868-8668.

What is Alexander Demidenko's specialty?

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

Is Alexander Demidenko enrolled in Medicare?

Yes. Alexander Demidenko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexander Demidenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Demidenko reassigns Medicare benefits to Long Island Ophthalmology & Eye Surgery, P. C. (Far Rockaway, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Demidenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Demidenko was last updated on March 20, 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.