DR. PHILIP MORAITIS M.D.
NPI 1396730172
Specialist in Springfield, MA

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3640 MAIN ST, SUITE 205, SPRINGFIELD, MA 01107(413) 739-7367(413) 737-2686 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Moraitis M.d. NPPES

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

DR. PHILIP MORAITIS M.D. (NPI 1396730172) is an individual specialist in Springfield, Massachusetts, licensed in Massachusetts (79560) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1990).

NPPES Registry Identity

NPI1396730172
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PHILIP MORAITISCredential: M.D.
Location Address3640 MAIN ST, SUITE 205Springfield, MA 01107-1145
Mailing Address3640 Main St, Suite 205Springfield, MA 01107-1145 · (413) 739-7367 · Fax (413) 737-2686
Fax(413) 737-2686
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1990
Enumeration DateSeptember 16, 2005
Last NPPES UpdateMay 23, 2014
NPI 1396730172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MA · 79560
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3640 MAIN ST, Springfield, MA 01107

Other Identifiers 13

Other0115328MA · Aetna Group No.
Other151179MA · Harvard Pilgrim
Other180026086MA · Railroad Medicare
Other010079560MA01MA · Connecticut Blue Shield
Other079560MA · Tufts
Other080434MA · United Health Care
OtherP1644826MA · Oxford Health Plans
Other18478MA · Health New England
Medicare PINJ14560MA
Other779560MA · Connecticare
Other3152250002MA · Cigna
OtherJ14560MA · Ma Blue Shield
Medicare UPINF79997MA

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. Philip Moraitis 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 ID9638118292
PECOS Enrollment IDI20050503000520
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.

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.
1,130 services1,056 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).
340 services329 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.
264 services206 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.
190 services116 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
183 services110 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
154 services93 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers25 claims25 services$55.54 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers20 claims33 services$41.15 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims22 services$52.82 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims32 services$17.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
3640 MAIN ST, SUITE 207
SPRINGFIELD, MA 01107
Physician Assistant
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Ophthalmology
3640 MAIN ST, STE 201
SPRINGFIELD, MA 01107
Radiology (Neuroradiology)
3640 MAIN ST, SUITE 101
SPRINGFIELD, MA 01107
Surgery
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Specialist
3640 MAIN ST, SUITE 205
SPRINGFIELD, MA 01107
Pediatrics (Pediatric Gastroenterology)
3640 MAIN ST, SUITE 204
SPRINGFIELD, MA 01107
Ophthalmology
3640 MAIN ST, SUITE 201
SPRINGFIELD, MA 01107

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 Philip Moraitis's NPI number?

The NPI number for Philip Moraitis is 1396730172. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Philip Moraitis located?

Philip Moraitis practices at 3640 Main St Suite 205, Springfield, MA 01107. The listed phone number is (413) 739-7367.

What is Philip Moraitis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Philip Moraitis enrolled in Medicare?

Yes. Philip Moraitis 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 Philip Moraitis accept?

Health plans from Anthem Blue Cross and Blue Shield list Philip Moraitis 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 Philip Moraitis was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.