SEBASTIAN P LESNIAK M.D.
NPI 1417252776
Ophthalmology in Pennington, NJ

Q: What is Sebastian Lesniak's NPI number?

The NPI number for Sebastian Lesniak is 1417252776. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Q: What is Sebastian Lesniak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sebastian Lesniak was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 18, 2011PECOS EnrolledAccepts Medicare Assignment

90.91/100

CMS Quality Rating

2 CAPITAL WAY, SUITE 326, PENNINGTON, NJ 08534(609) 882-8833(609) 882-0077 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Sebastian P Lesniak M.d. NPPES

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

SEBASTIAN P LESNIAK M.D. (NPI 1417252776) is an individual ophthalmology provider in Pennington, New Jersey, licensed in New Jersey (25MA09481500) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2010).

NPPES Registry Identity

NPI1417252776

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSEBASTIAN P LESNIAKCredential: M.D.

Location Address2 CAPITAL WAY, SUITE 326Pennington, NJ 08534-2521

Mailing AddressTwo Capital Way, Suite 326Pennington, NJ 08534 · (609) 882-8833 · Fax (609) 882-0077

Phone(609) 882-8833

Fax(609) 882-0077

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2010

Enumeration DateJanuary 18, 2011

Last NPPES UpdateAugust 27, 2015

✔ NPI 1417252776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NJ · 25MA09481500✔ Licensed in PA · MD451904

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.

2 CAPITAL WAY, Pennington, NJ 08534

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Other Identifiers 2

Medicare PIN363866C9YNJ

Medicare PIN355246FVUPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sebastian P Lesniak 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 ID5890911762

PECOS Enrollment IDI20140730000123, I20140918001924

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 Sebastian Lesniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Retinal Consultants LLC

65 mi

Ophthalmology

1 CENTURIAN DR STE 114
Newark, DE 19713

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
118 clinicians in this Medicare group

NPI 1164578894 (908) 458-8333

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 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.

749 services661 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

641 services324 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

385 services332 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.

163 services105 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.

143 services88 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).

135 services133 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

92 services75 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.

78 services74 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

78 services37 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.

77 services61 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

76 services65 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.

64 services64 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

47 services42 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

46 services46 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.

45 services42 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.

44 services34 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

44 services33 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

29 services26 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

23 services17 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

90.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.43

Improvement Activities

Cost

70.77

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.

VICTORIA E PENA-CARDINALI

Social Worker (Clinical)

2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534

Mercer County (609) 537-7300

CAPITAL HEALTH CENTER FOR LIVER DISEASE

Internal Medicine (Hepatology)

2 CAPITAL WAY, SUITE 380
PENNINGTON, NJ 08534

Mercer County (609) 537-5000

DR. GARY A TUMA M.D.

Plastic Surgery

2 CAPITAL WAY, SUITE 505
PENNINGTON, NJ 08534

Mercer County (609) 537-7000

WE CARE MD PC

Non-Pharmacy Dispensing Site

2 CAPITAL WAY, SUITE 359
PENNINGTON, NJ 08534

Mercer County (609) 303-0590

LEE M BUONO MD

Neurological Surgery

2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534

Mercer County (609) 537-7300

PLASTIC SURGERY ASSOCIATES OF NJ

Plastic Surgery

2 CAPITAL WAY, SUITE 505
PENNINGTON, NJ 08534

Mercer County (609) 537-7000

MERCER BUCKS ENDOCRINOLOGY PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2 CAPITAL WAY, SUITE 315
PENNINGTON, NJ 08534

Mercer County (732) 668-2000

JOOYEUN CHUNG M.D

Surgery

2 CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534

Mercer County (609) 537-6000

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 Sebastian Lesniak's NPI number?

The NPI number for Sebastian Lesniak is 1417252776. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Sebastian Lesniak located?

Sebastian Lesniak practices at 2 Capital Way Suite 326, Pennington, NJ 08534. The listed phone number is (609) 882-8833.

What is Sebastian Lesniak's specialty?

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

Is Sebastian Lesniak enrolled in Medicare?

Yes. Sebastian Lesniak 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.

Which organization bills Medicare for Sebastian Lesniak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Lesniak reassigns Medicare benefits to Associated Retinal Consultants LLC (Newark, DE). 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 Sebastian Lesniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebastian Lesniak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sebastian Lesniak 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.

Is Sebastian Lesniak affiliated with any hospitals?

According to CMS data, Sebastian Lesniak is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Sebastian Lesniak was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.