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MR. PETER JOSEPH NESS M.D.
NPI 1376817999
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Latham, NY

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
920 ALBANY SHAKER RD, SUITE 101, LATHAM, NY 12110(518) 480-6216(518) 533-6505 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 5, 2024, Mar 30, 2023, Dec 2, 2019 and 1 more (4 updates tracked since 2018).

About Mr. Peter Joseph Ness M.d. NPPES

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

MR. PETER JOSEPH NESS M.D. (NPI 1376817999) is an individual pediatric ophthalmology and strabismus specialist in Latham, New York, licensed in New York (308276) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of University Of Texas Medical School At Houston (2009).

NPPES Registry Identity

NPI1376817999
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameMR. PETER JOSEPH NESSCredential: M.D.
Location Address920 ALBANY SHAKER RD, SUITE 101Latham, NY 12110
Mailing Address920 Albany Shaker Rd, Suite 101Latham, NY 12110 · (518) 480-6216 · Fax (518) 533-6505
Phone(518) 480-6216
Fax(518) 533-6505
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009
Enumeration DateFebruary 29, 2012
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1376817999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
Licenses✔ Licensed in NY · 308276✔ Licensed in TX · P9413
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License BP20039266 (TX), 52164 (SC)
920 ALBANY SHAKER RD, Latham, NY 12110
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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

Mr. Peter Joseph Ness 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 ID446475305
PECOS Enrollment IDI20210406000407
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

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.

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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

DR. JOHN W SIMON M.D.
Ophthalmology
920 ALBANY SHAKER RD, SUITE 101
LATHAM, NY 12110
Albany County (518) 533-6502
DR. GERARD PATRICK BARRY M.D.
Ophthalmology
920 ALBANY SHAKER RD, SUITE 101
LATHAM, NY 12110
Albany County (518) 533-6502
JITKA LUDMILA ZOBAL-RATNER M.D.
Ophthalmology
920 ALBANY SHAKER RD, SUITE 101
LATHAM, NY 12110
Albany County (518) 533-6502

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 Peter Ness's NPI number?

The NPI number for Peter Ness is 1376817999. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Peter Ness located?

Peter Ness practices at 920 Albany Shaker Rd Suite 101, Latham, NY 12110. The listed phone number is (518) 480-6216.

What is Peter Ness's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Peter Ness enrolled in Medicare?

Yes. Peter Ness 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 Peter Ness affiliated with any hospitals?

According to CMS data, Peter Ness is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Peter Ness was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.