DR. ALEX W COHEN M.D.
NPI 1497953673
Ophthalmology in Phoenix, AZ

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
80.72/100
CMS Quality Rating
2222 E CAMELBACK RD STE 250, PHOENIX, AZ 85016(602) 840-3501 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2023, Feb 14, 2023, Mar 13, 2019 (3 updates tracked since 2019).

About Dr. Alex W Cohen M.d. NPPES

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

DR. ALEX W COHEN M.D. (NPI 1497953673) is an individual ophthalmology provider in Phoenix, Arizona, licensed in Arizona (69266) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2006).

NPPES Registry Identity

NPI1497953673
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALEX W COHENCredential: M.D.
Location Address2222 E CAMELBACK RD STE 250Phoenix, AZ 85016-3427
Mailing Address2450 E Guadalupe Rd Ste 107Gilbert, AZ 85234-5116
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2006
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 13, 20243 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1497953673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in AZ · 69266✔ Licensed in IA · R-7993✔ Licensed in IA · 38923
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.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 38923 (IA)
2222 E CAMELBACK RD STE 250, Phoenix, AZ 85016

Secondary Practice Locations 2

Location 12450 E Guadalupe Rd Ste 107Gilbert, AZ 85234-5116 · Phone (480) 558-0600
Location 2955 W Southern Ave Ste 122Mesa, AZ 85210-4903 · Phone (480) 835-4440

Other Identifiers 2

Medicaid200342740AOK
Medicaid164291AZ

Accepted 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

Dr. Alex W Cohen 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 ID5698807600
PECOS Enrollment IDI20230503001756
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 Reassignments

3

Medicare enrollment records show Alex Cohen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
2040 E RIO SALADO PKWY STE 120
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 139 clinicians in this Medicare group
Ophthalmology
7373 N SCOTTSDALE RD STE C-302
Scottsdale, AZ 85253
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
Ophthalmology
10701 W BELL RD
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 16 clinicians in this Medicare group

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 12

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.

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.
71 services43 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.
52 services44 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.
33 services33 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.
32 services32 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.
28 services19 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.
28 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

80.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost35.74

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers47 claims47 services$46.99 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
4 suppliers15 claims26 services$41.66 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
1 supplier34 claims61 services$46.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alex Cohen's NPI number?

The NPI number for Alex Cohen is 1497953673. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Alex Cohen located?

Alex Cohen practices at 2222 E Camelback Rd Ste 250, Phoenix, AZ 85016. The listed phone number is (602) 840-3501.

What is Alex Cohen's specialty?

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

Is Alex Cohen enrolled in Medicare?

Yes. Alex Cohen 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 organizations bill Medicare for Alex Cohen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Cohen reassigns Medicare benefits to 3 organizations: Nationwide Optometry P.C. (Tempe, AZ), Associated Ophthalmologists Ltd (Scottsdale, AZ) and Emilio Martin Justo MD PC (Sun City, AZ). Each 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 Alex Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Cohen accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Alex Cohen 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 Alex Cohen was last updated on March 13, 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.