DR. ROMAN POLISHCHUK O.D.
NPI 1467715839
Optometrist in Brooklyn, NY

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
904 49TH ST, MEDICAL & SURGICAL EYESITE, BROOKLYN, NY 11219(718) 283-8000(718) 365-3655 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roman Polishchuk O.d. NPPES

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

DR. ROMAN POLISHCHUK O.D. (NPI 1467715839) is an individual optometrist in Brooklyn, New York, licensed in New York (007870) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2012).

NPPES Registry Identity

NPI1467715839
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROMAN POLISHCHUKCredential: O.D.
Location Address904 49TH ST, MEDICAL & SURGICAL EYESITEBrooklyn, NY 11219-2922
Mailing Address904 49th St, Medical & Surgical EyesiteBrooklyn, NY 11219-2922 · (718) 283-8000 · Fax (718) 365-3655
Fax(718) 365-3655
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateNovember 30, 2012
NPI 1467715839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · 007870
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

904 49TH ST, Brooklyn, NY 11219

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. Roman Polishchuk O.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 ID6305092503
PECOS Enrollment IDI20120803000098
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 10

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 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.
458 services343 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.
424 services418 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.
237 services233 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.
153 services153 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).
125 services124 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
110 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 as part of a group practice
Quality100
Improvement Activities40

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.

Radiology (Diagnostic Ultrasound)
904 49TH ST
BROOKLYN, NY 11219
Pathology (Cytopathology)
904 49TH ST
BROOKLYN, NY 11219
Pathology (Anatomic Pathology & Clinical Pathology)
904 49TH ST
BROOKLYN, NY 11219
Urology
904 49TH ST, LOWER LEVEL
BROOKLYN, NY 11219

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 Roman Polishchuk's NPI number?

The NPI number for Roman Polishchuk is 1467715839. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Roman Polishchuk located?

Roman Polishchuk practices at 904 49th St Medical & Surgical Eyesite, Brooklyn, NY 11219. The listed phone number is (718) 283-8000.

What is Roman Polishchuk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roman Polishchuk enrolled in Medicare?

Yes. Roman Polishchuk 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 Roman Polishchuk accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Roman Polishchuk 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 Roman Polishchuk was last updated on November 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.