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PAULA LYNNE COLEMAN MD
NPI 1588683148
Ophthalmology in Mahopac, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7 MILLER ROAD, MAHOPAC, NY 10541(845) 628-8788(845) 628-9581 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Paula Lynne Coleman Md NPPES

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

PAULA LYNNE COLEMAN MD (NPI 1588683148) is an individual ophthalmology provider in Mahopac, New York, licensed in New York (131265-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1974).

NPPES Registry Identity

NPI1588683148
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePAULA LYNNE COLEMANCredential: MD
Location Address7 MILLER ROADMahopac, NY 10541-0959
Mailing AddressPo Box 959Mahopac, NY 10541-0959 · (845) 628-9583 · Fax (845) 628-9581
Phone(845) 628-8788
Fax(845) 628-9581
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1974
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 4, 2011
✔ NPI 1588683148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 131265-1
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.
7 MILLER ROAD, Mahopac, NY 10541
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Other Identifiers 14

Other4326780NY · Aetna
OtherSS045NY · Oxford
Other3747686007NY · Cigna
Other0D0497NY · Healthnet
OtherCO131265-1NY · Workers' Comp.
Other180032856NY · Railroad Medicare
Other9764NY · Ghihmo
Medicare UPINC08822NY
Other177026NY · Mvp
Other133954276NY · Pomco
Other15B781NY · Empire Blue Shield
Other0499842NY · Ghi
Other133954276NY · Care Plus
Medicare ID-Type Unspecified15B781NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Paula Lynne Coleman 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 ID1658374756
PECOS Enrollment IDI20100222000055
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 12

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.

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.
3,449 services24 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.
1,102 services964 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.
776 services683 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).
413 services363 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.
304 services187 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
148 services136 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10541 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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

Closing the Referral Loop: Receipt of Specialist Report
51%127 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
100%352 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
92%101 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,907 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%1,808 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%486 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
96%276 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%272 patients
Tobacco Use and Help with Quitting Among Adolescents
98%52 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,887 patients
Patients totalRate: 0% · 1,887 patients
0%1,887 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

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

MAHOPAC EYEWEAR INC.
Durable Medical Equipment & Medical Supplies
7 MILLER ROAD
MAHOPAC, NY 10541
Putnam County (845) 628-8788

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 Paula Coleman's NPI number?

The NPI number for Paula Coleman is 1588683148. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Paula Coleman located?

Paula Coleman practices at 7 Miller Road, Mahopac, NY 10541. The listed phone number is (845) 628-8788.

What is Paula Coleman's specialty?

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

Is Paula Coleman enrolled in Medicare?

Yes. Paula Coleman 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 Paula Coleman accept?

Health plans from Providence Health Plan list Paula Coleman 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 Paula Coleman was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.