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DR. SUZANNE JENNIFER PESCE MD
NPI 1528027554
Ophthalmology in Philadelphia, PA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
44.78/100
CMS Quality Rating
525 JAMESTOWN ST, SUITE 207, PHILADELPHIA, PA 19128(215) 483-8444(215) 482-8456 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suzanne Jennifer Pesce Md NPPES

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

DR. SUZANNE JENNIFER PESCE MD (NPI 1528027554) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432788) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of George Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1528027554
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SUZANNE JENNIFER PESCECredential: MD
Location Address525 JAMESTOWN ST, SUITE 207Philadelphia, PA 19128-1751
Mailing Address525 Jamestown St, Suite 207Philadelphia, PA 19128-1751 · (215) 483-8444 · Fax (215) 482-8456
Phone(215) 483-8444
Fax(215) 482-8456
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1996
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1528027554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD432788
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.
525 JAMESTOWN ST, Philadelphia, PA 19128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Suzanne Jennifer Pesce Md 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 ID8527020874
PECOS Enrollment IDI20071108000036
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 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.

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.
229 services170 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.
223 services200 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.
108 services108 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.
94 services94 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.
58 services56 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).
55 services50 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19128 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

44.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
74%73 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%70 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
90%167 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%38 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%462 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
4%148 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%910 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
88%57 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%910 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers17 claims17 services$49.09 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.

HAROLD J. MILSTEIN, M.D., P.C.
Dermatology
525 JAMESTOWN ST, SUITE 206
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-3666
ANDREW LEON PRITCHARD O.D.
Optometrist
525 JAMESTOWN ST, SUITE 207
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-8444
BLOOM EYE ASSOCIATES, LTD.
Ophthalmology
525 JAMESTOWN ST, SUITE 207
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-8444
DR. LARRY M. BOROWSKY MD
Internal Medicine (Gastroenterology)
525 JAMESTOWN ST, SUITE 101
PHILADELPHIA, PA 19128
Philadelphia County (215) 463-1483
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Orthopaedic Surgery
525 JAMESTOWN ST, SUITE 105
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-6693
GARY ALAN BAIOCCHI DO
Family Medicine
525 JAMESTOWN ST, SUITE 201
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-2412
TEMPLE PHYSICIANS INC.
Family Medicine
525 JAMESTOWN ST, SUITE 201
PHILADELPHIA, PA 19128
Philadelphia County (215) 214-2412
UROLOGIC SURGEONS, INC.
Urology
525 JAMESTOWN ST, SUITE 108
PHILADELPHIA, PA 19128
Philadelphia County (215) 247-3082

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 Suzanne Pesce's NPI number?

The NPI number for Suzanne Pesce is 1528027554. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Suzanne Pesce located?

Suzanne Pesce practices at 525 Jamestown St Suite 207, Philadelphia, PA 19128. The listed phone number is (215) 483-8444.

What is Suzanne Pesce's specialty?

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

Is Suzanne Pesce enrolled in Medicare?

Yes. Suzanne Pesce 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 Suzanne Pesce accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Suzanne Pesce 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 Suzanne Pesce affiliated with any hospitals?

According to CMS data, Suzanne Pesce is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Suzanne Pesce was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.