NEWMAN JOSHUA SUND MD
NPI 1548215007
Ophthalmology in Baltimore, MD

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6115 FALLS RD, 300, BALTIMORE, MD 21209(410) 377-7611(410) 377-8221 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Newman Joshua Sund Md NPPES

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

NEWMAN JOSHUA SUND MD (NPI 1548215007) is an individual ophthalmology provider in Baltimore, Maryland, licensed in Maryland (D0067464) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2002).

NPPES Registry Identity

NPI1548215007
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNEWMAN JOSHUA SUNDCredential: MD
Location Address6115 FALLS RD, 300Baltimore, MD 21209-2219
Mailing Address6115 Falls Rd, 300Baltimore, MD 21209-2219 · (410) 377-7611 · Fax (410) 377-8221
Fax(410) 377-8221
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2002
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 28, 2012
NPI 1548215007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D0067464 Licensed in PA · MD433493
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.
6115 FALLS RD, Baltimore, MD 21209

Other Identifiers 6

Medicaid018325300MD
Medicare OSCAR/certificationP00736810PA
Medicare UPINI53417
Medicare OSCAR/certificationP00651505MD
Medicare OSCAR/certification130196N2EPA
Medicare OSCAR/certification129674ZACZMD

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

Newman Joshua Sund 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 ID7214949692
PECOS Enrollment IDI20080829000032, I20080916000268, I20120409000545
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 17

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.
13,140 services42 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.
2,826 services991 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.
2,049 services441 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.
1,750 services555 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.
1,245 services874 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
1,155 services426 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%235 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%400 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%109 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%371 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%5,105 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%441 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
100%40 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,068 patients
Patients screened: 100% · 1,068 patients
100%77 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%118 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,354 patients
Patients totalRate: 0% · 1,354 patients
0%1,354 patients5/55-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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
6115 FALLS RD, 300
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, SUITE 300
BALTIMORE, MD 21209
Counselor (Professional)
6115 FALLS RD, SUITE LL-B
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, SUITE 333
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, STE 300
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, STE 300
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, SUITE 333
BALTIMORE, MD 21209
Ophthalmology
6115 FALLS RD, SUITE 333
BALTIMORE, MD 21209

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 Newman Sund's NPI number?

The NPI number for Newman Sund is 1548215007. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Newman Sund located?

Newman Sund practices at 6115 Falls Rd 300, Baltimore, MD 21209. The listed phone number is (410) 377-7611.

What is Newman Sund's specialty?

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

Is Newman Sund enrolled in Medicare?

Yes. Newman Sund 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 Newman Sund accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Newman Sund 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 Newman Sund was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.