DR. ERIC ANDREW GERSHENBAUM M.D.
NPI 1548227309
Ophthalmology in Freehold, NJ

Active since April 27, 2006PECOS Enrolled
79.01/100
CMS Quality Rating
509 STILLWELLS CORNER RD, SUITE E5, FREEHOLD, NJ 07728(732) 431-9333(732) 431-3312 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Eric Andrew Gershenbaum M.d. NPPES

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

DR. ERIC ANDREW GERSHENBAUM M.D. (NPI 1548227309) is an individual ophthalmology provider in Freehold, New Jersey, licensed in New Jersey (25MA07781000) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548227309
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ERIC ANDREW GERSHENBAUMCredential: M.D.
Location Address509 STILLWELLS CORNER RD, SUITE E5Freehold, NJ 07728-2965
Mailing Address509 Stillwells Corner Rd, Suite E5Freehold, NJ 07728-2965 · (732) 431-9333 · Fax (732) 431-3312
Fax(732) 431-3312
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1548227309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA07781000
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.

509 STILLWELLS CORNER RD, Freehold, NJ 07728

Other Identifiers 15

Other27419NJ · Spectera
Other3627031NJ · Aetna
Medicare ID-Type Unspecified086131TJONJ
Medicaid0053023NJ
OtherNJ7810NJ · Eyemed
Other1877842NJ · United Healthcare
Medicare UPINI22105NJ
Medicare NSC5690990001NJ
Other0979343NJ · Cigna
OtherOXFORDNJ · P3547665
Other278080NJ · Amerigroup
Other2392563000NJ · Amerihealth
Other8222242NJ · Ghi
Other5641748NJ · First Health
Other50973NJ · Davis Vision

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 (PECOS)

Dr. Eric Andrew Gershenbaum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 23

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 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.
1,037 services617 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
616 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.
562 services323 patients
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.
349 services219 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.
318 services295 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.
253 services240 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

79.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost26.66

Reported Quality Measures

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
100%59 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.

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
1 supplier14 claims14 services$48.04 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 12

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

Internal Medicine (Hematology & Oncology)
509 STILLWELLS CORNER RD, SUITE E-8
FREEHOLD, NJ 07728
Dentist (Oral and Maxillofacial Surgery)
509 STILLWELLS CORNER RD
FREEHOLD, NJ 07728
Internal Medicine (Geriatric Medicine)
509 STILLWELLS CORNER RD, STE E5
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD, STE E5
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728
Podiatrist (Foot & Ankle Surgery)
509 STILLWELLS CORNER RD, STE. E9
FREEHOLD, NJ 07728
Podiatrist
509 STILLWELLS CORNER RD, E9
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD, SUITE E5
FREEHOLD, NJ 07728

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 Eric Gershenbaum's NPI number?

The NPI number for Eric Gershenbaum is 1548227309. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Eric Gershenbaum located?

Eric Gershenbaum practices at 509 Stillwells Corner Rd Suite E5, Freehold, NJ 07728. The listed phone number is (732) 431-9333.

What is Eric Gershenbaum's specialty?

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

Is Eric Gershenbaum enrolled in Medicare?

Yes. Eric Gershenbaum is registered in the Medicare PECOS enrollment system.

What insurance does Eric Gershenbaum accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Eric Gershenbaum 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 Eric Gershenbaum was last updated on February 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.