THIERRY CHARLES VERSTRAETEN MD
NPI 1538120977
Ophthalmology in Pittsburgh, PA

Q: What is Thierry Verstraeten's NPI number?

The NPI number for Thierry Verstraeten is 1538120977. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Thierry Verstraeten's specialty?

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

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment

420 E NORTH AVE STE 116, PITTSBURGH, PA 15212(412) 359-6300(412) 359-6768 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Thierry Charles Verstraeten Md NPPES

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

THIERRY CHARLES VERSTRAETEN MD (NPI 1538120977) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD040713L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1538120977

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameTHIERRY CHARLES VERSTRAETENCredential: MD

Location Address420 E NORTH AVE STE 116Pittsburgh, PA 15212-4746

Mailing Address420 E North Ave Ste 116Pittsburgh, PA 15212-4746 · (412) 359-6300 · Fax (412) 359-6768

Phone(412) 359-6300

Fax(412) 359-6768

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateMarch 28, 2006

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1538120977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD040713L

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.

420 E NORTH AVE STE 116, Pittsburgh, PA 15212

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Other Identifiers 2

Other10938160Caqh

Medicaid0013027680004PA

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.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

Thierry Charles Verstraeten 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 ID5890710446

PECOS Enrollment IDI20051012000689

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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

7,800 services33 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.

1,600 services628 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

930 services265 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.

766 services462 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

710 services106 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

359 services122 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.

240 services178 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.

227 services109 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.

74 services57 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.

67 services67 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

41 services38 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

25 services25 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

21 services19 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

16 services14 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390042

Location155 Wilson AvenueWashington, PA 15301 · Washington County

Emergency services Birthing friendly

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390160

Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

FATIMA-TUN-NISSA RAZA MD

Ophthalmology (Neuro-ophthalmology)

420 E NORTH AVE STE 116
PITTSBURGH, PA 15212

Allegheny County (412) 359-6300

DR. MAMTA VINIT SHAH M.D.

Ophthalmology

420 E NORTH AVE STE 116
PITTSBURGH, PA 15212

Allegheny County (412) 359-6300

MATTHEW BRUCKS

Ophthalmology

420 E NORTH AVE STE 116
PITTSBURGH, PA 15212

Allegheny County (412) 359-6320

MICHAEL DAVID LEWEN MD

Ophthalmology (Retina Specialist)

420 E NORTH AVE STE 116
PITTSBURGH, PA 15212

Allegheny County (412) 359-6300

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 Thierry Verstraeten's NPI number?

The NPI number for Thierry Verstraeten is 1538120977. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Thierry Verstraeten located?

Thierry Verstraeten practices at 420 E North Ave Ste 116, Pittsburgh, PA 15212. The listed phone number is (412) 359-6300.

What is Thierry Verstraeten's specialty?

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

Is Thierry Verstraeten enrolled in Medicare?

Yes. Thierry Verstraeten 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 Thierry Verstraeten accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thierry Verstraeten 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 Thierry Verstraeten affiliated with any hospitals?

According to CMS data, Thierry Verstraeten is affiliated with Washington Hospital, The, Allegheny General Hospital and Canonsburg General Hospital.

When was this NPI record last updated?

The NPPES record for Thierry Verstraeten was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.