DR. ANTHONY ANTONELLO JR. M.D. NPI 1548265374
Ophthalmology in Media, PA

About DR. ANTHONY ANTONELLO JR. M.D.

Anthony Antonello is a provider established in Media, Pennsylvania and his medical specialization is Ophthalmology with more than 38 years of experience. He graduated from Drexel University College Of Medicine in 1985. The NPI number of Anthony Antonello is 1548265374 and was assigned on June 2005. The practitioner's primary taxonomy code is 207W00000X with license number MD044041E (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1548265374
Provider NameDR. ANTHONY ANTONELLO JR. M.D.
Location Address1098 W BALTIMORE PIKE SUITE 3302 MEDIA, PA 19063
Location Phone(610) 565-6780
Mailing Address1098 W BALTIMORE PIKE SUITE 3302 MEDIA, PA 19063
GenderMale
NPI Entity TypeIndividual
Medical School NameDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date06-17-2005
Last Update Date11-13-2009

Anthony Antonello is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Anthony Antonello is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: advance care plan, age-related macular degeneration (amd): dilated macular examination, clinical data registry reporting, diabetes: eye exam, diabetic retinopathy: communication with the physician managing ongoing diabetes care, e-prescribing, implementation of improvements that contribute to more timely communication of test results, implementation of use of specialist reports back to referring clinician or group to close referral loop, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, provide patients electronic access to their health information and security risk analysis.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.88 for a new patient copayment and $19.55 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.MD044041E
License StatePA
Taxonomy DescriptionAn 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. ANTHONY ANTONELLO JR. M.D.
1098 W BALTIMORE PIKE
SUITE 3302
MEDIA, PA
ZIP 19063
Phone: (610) 565-6780
Fax: (610) 565-9390

Get Directions


Mailing Address

DR. ANTHONY ANTONELLO JR. M.D.
1098 W BALTIMORE PIKE
SUITE 3302
MEDIA, PA
ZIP 19063
Phone: (610) 565-6780
Fax: (610) 565-9390


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7911920251
PECOS Enrollment IDI20100112000261
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 19063 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$62.8 $189.43 $143.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.7 $47.35 $35.88
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.68 $154.62 $78.22
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.92 $38.65 $19.55

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 98
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 99.4
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 70% 1320
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.
Age-Related Macular Degeneration (AMD): Dilated Macular Examination 100% 197
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 hemorrhage AND the level of macular degeneration severity during one or more office visits within the 12 month performance period.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Diabetes: Eye Exam 100% 241
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period.
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 100% 76
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 regarding the findings of the macular or fundus exam at least once within 12 months.
e-Prescribing 100% 906
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Pneumococcal Vaccination Status for Older Adults 83% 1320
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.
Preventive Care and Screening: Influenza Immunization 94% 1014
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 67% 43
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.
Provide Patients Electronic Access to Their Health Information 98% 1256
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1291Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 1207Photography of the retina (HCPCS:92250)
  • 403Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 389Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 373Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 221Diagnostic imaging of retina (HCPCS:92134)
  • 135Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
421172MEDICARE ID-TYPE UNSPECIFIED (04)PAINDIVIDUAL
001174031MEDICAID (05)PA
E42724MEDICARE UPIN (02)PA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548265374
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25884610314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 6 + 1 + 0 + 3 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1548265374 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326049594MRS. DAWN SCHRAMM ATC
Individual
Specialist/Technologist (Athletic Trainer)1098 W BALTIMORE PIKE OUTPATIENT PHYSICAL THERAPY
MEDIA, PA 19063
(610) 891-3030
1154391738DR. HASSAN C VAKIL M.D.
Individual
Surgery1098 W BALTIMORE PIKE STE 3411
MEDIA, PA 19063
(610) 565-4338
1245207224 MICHELE LEE BOORNAZIAN DO
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION
MEDIA, PA 19063
(610) 891-9277
1699743377 JOSEPH D HOPE DO
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION
MEDIA, PA 19063
(610) 891-9277
1093784886ROSE TREE MEDICAL ASSOCIATES LLC
Organization
Internal Medicine1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILION
MEDIA, PA 19063
(610) 891-9277
1528027646 ANDREW C BROWN DO
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3402
MEDIA, PA 19063
(610) 565-3250
1487613311DEL-VAL FOOT & ANKLE P C
Organization
Podiatrist1098 W BALTIMORE PIKE STE 3305
MEDIA, PA 19063
(610) 566-5236
1730148206DR. ANTHONY PONTARELLI DPM
Individual
Podiatrist1098 W BALTIMORE PIKE STE 3305
MEDIA, PA 19063
(610) 566-5236
1265492763 RAJESH PATEL MD
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3402
MEDIA, PA 19063
(610) 565-2350
1346298536RIDDLE EYE ASSOCIATES P C
Organization
Ophthalmology1098 W BALTIMORE PIKE SUITE 3302
MEDIA, PA 19063
(610) 565-6780
1437109972DR. ROBERT NORMAN LINDHOLM MD
Individual
Otolaryngology1098 W BALTIMORE PIKE STE 3307
MEDIA, PA 19063
(610) 892-0801
1003853359RIDDLE HEALTH CARE SERVICES
Organization
Physical Medicine & Rehabilitation1098 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1376587543DR. ARMEN M SEVAG DO
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3101 OUTPATIENT PAVILLION
MEDIA, PA 19063
(610) 891-9277
1316970825DR. ANMAR A JAMALI M.D.
Individual
Internal Medicine1098 W BALTIMORE PIKE SUITE 3311
MEDIA, PA 19063
(610) 565-7810
1043244320 SEAN ANTHONY WRIGHT M.D., F.A.C.S.
Individual
Plastic Surgery1098 W BALTIMORE PIKE SUITE 3306
MEDIA, PA 19063
(610) 565-2848
1215943568DR. TRINA L BRADBURD D. O.
Individual
Family Medicine1098 W BALTIMORE PIKE SUITE 3311
MEDIA, PA 19063
(610) 565-7810
1326055666MRS. MICHELE LITTLE P.T
Individual
Physical Therapist1098 W BALTIMORE PIKE PPO LOBBY LEVEL
MEDIA, PA 19063
(610) 891-3030
1447267778MRS. CAROLE R LOVELACE P.T.
Individual
Physical Therapist1098 W BALTIMORE PIKE OPP LOBBY LEVEL
MEDIA, PA 19063
(610) 891-3030
1972514297RIDDLE HEALTHCARE ASSOCIATES
Organization
Obstetrics & Gynecology1098 W BALTIMORE PIKE SUITE #3106
MEDIA, PA 19063
(610) 891-6240
1447261680MISS KATHERINE A SAPORETTI P.T.
Individual
Physical Therapist1098 W BALTIMORE PIKE LOBBY LEVEL
MEDIA, PA 19063
(610) 891-3030

Frequently Asked Questions

What is Dr. Anthony Antonello JR. M.D. NPI number?

The NPI number assigned to Dr. Anthony Antonello JR. M.D. is 1548265374, registered as an "individual" on June 17, 2005

Where is Dr. Anthony Antonello JR. M.D. located?

The provider is located at 1098 W Baltimore Pike Suite 3302 Media, Pa 19063 and the phone number is (610) 565-6780

Which is Dr. Anthony Antonello JR. M.D. specialty?

The provider's speciality is Ophthalmology

How many years of experience does Dr. Anthony Antonello JR. M.D. have?

The provider has more than 38 years of experience. He graduated from Drexel University College Of Medicine in 1985.

What insurance does Dr. Anthony Antonello JR. M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Anthony Antonello JR. M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dr. Anthony Antonello JR. M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Age-Related Macular Degeneration (AMD): Dilated Macular Examination, Diabetes: Eye Exam, Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care, e-Prescribing, Pneumococcal Vaccination Status for Older Adults, Preventive Care and Screening: Influenza Immunization , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

How much is a visit to Dr. Anthony Antonello JR. M.D.?

Medicare beneficiaries should expect a typical cost of $143.54 with an average copayment of $35.88 for new patient appointments. Established patients should expect a typical charge of $78.22 and an average copayment of 19.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Anthony Antonello JR. M.D.?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Photography of the retina, Measurement of field of vision during daylight conditions, Diagnostic imaging of optic nerve of eye, Eye and medical examination for diagnosis and treatment, established patient, Diagnostic imaging of retina and Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits.

How do I update my NPI information?

The NPI record of Dr. Anthony Antonello JR. M.D. was last updated on June 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]