EDWARD ANDREW TSOY M. D.
NPI 1578605002
Ophthalmology in Rockville, MD
Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
86.97/100
CMS Quality Rating
9707 MEDICAL CENTER DR, SUITE 110, ROCKVILLE, MD 20850(301) 424-7744(301) 424-7746 Get Directions Write a Review
About Edward Andrew Tsoy M. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD ANDREW TSOY M. D. (NPI 1578605002) is an individual ophthalmology provider in Rockville, Maryland, licensed in Maryland (D0026047) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1979).
NPPES Registry Identity
NPI1578605002
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEDWARD ANDREW TSOYCredential: M. D.
Location Address9707 MEDICAL CENTER DR, SUITE 110Rockville, MD 20850-3348
Mailing Address9707 Medical Center Dr, Suite 110Rockville, MD 20850-3348 · (301) 424-7744 · Fax (301) 424-7746
Phone(301) 424-7744
Fax(301) 424-7746
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1979
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578605002 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MD · D0026047✔ Licensed in DC · MD15870✔ Licensed in NC · 26783
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.
9707 MEDICAL CENTER DR, Rockville, MD 20850
Other Identifiers 4
Medicare ID-Type Unspecified469036
Medicaid428561100MD
Other26407MD · Md-ipa
Medicare UPINB95084
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
Edward Andrew Tsoy M. D. 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 ID1658568043
PECOS Enrollment IDI20101210000717
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 10
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.
446 services408 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.
377 services337 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.
315 services294 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.
296 services181 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.
278 services254 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).
251 services227 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.
86.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
100
Improvement Activities
40
Cost
48.4
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…
55%83 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…
99%83 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%24 patients5/55-star benchmark: 95%
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
99%90 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…
92%26 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
100%26 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,558 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
84%620 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%481 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
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
61%412 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
Patients tobacco: 56% · 625 patients
57%625 patients
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
100%131 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 619 patients
0%619 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Hematology & Oncology)
9707 MEDICAL CENTER DR, SUITE 300
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
Internal Medicine (Hematology & Oncology)
9707 MEDICAL CENTER DR, SUITE 300
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
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 Edward Tsoy's NPI number?
The NPI number for Edward Tsoy is 1578605002. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is Edward Tsoy located?
Edward Tsoy practices at 9707 Medical Center Dr Suite 110, Rockville, MD 20850. The listed phone number is (301) 424-7744.
What is Edward Tsoy's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Edward Tsoy enrolled in Medicare?
Yes. Edward Tsoy 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.
When was this NPI record last updated?
The NPPES record for Edward Tsoy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Edward Andrew Tsoy, M. D. · NPI 1578605002
Ophthalmology physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1578605002 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** D0026047 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9707 MEDICAL CENTER DR, SUITE 110, Rockville, MD 20850-3348
- **Phone:** (301) 424-7744 · **Fax:** (301) 424-7746
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Maryland School Of Medicine, class of 1979
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 469036; Medicaid 428561100 (MD); Other 26407 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578605002) · Data from the CMS NPPES public registry.