MISO GOSTIMIR MD, MPH
NPI 1598487597
Ophthalmology in Philadelphia, PA
About Miso Gostimir Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISO GOSTIMIR MD, MPH (NPI 1598487597) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD476883) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miso Gostimir Md, Mph 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.
Medicare Billing Reassignments
2Medicare enrollment records show Miso Gostimir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 230 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parma Community General Hospital
Acute Care Hospitals · Parma, OHLake Health
Acute Care Hospitals · Concord, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
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 Miso Gostimir's NPI number?
The NPI number for Miso Gostimir is 1598487597. It was assigned to this individual provider in the NPPES registry on September 15, 2022.
Where is Miso Gostimir located?
Miso Gostimir practices at 840 Walnut St Ste 930, Philadelphia, PA 19107. The listed phone number is (215) 928-3130.
What is Miso Gostimir's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Miso Gostimir enrolled in Medicare?
Yes. Miso Gostimir 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.
Which organizations bill Medicare for Miso Gostimir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miso Gostimir reassigns Medicare benefits to 2 organizations: Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miso Gostimir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miso Gostimir accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 9 other insurers list Miso Gostimir 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.
Is Miso Gostimir affiliated with any hospitals?
According to CMS data, Miso Gostimir is affiliated with Parma Community General Hospital, Lake Health and Uh Cleveland Medical Center.
When was this NPI record last updated?
The NPPES record for Miso Gostimir was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Miso Gostimir, MD, MPH · NPI 1598487597
Ophthalmology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 15, 2022.
## Identity
- **NPI:** 1598487597 (Entity type: Individual)
- **Enumerated:** September 15, 2022
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD476883 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 840 WALNUT ST STE 930, Philadelphia, PA 19107-5599
- **Phone:** (215) 928-3130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wills Eye Ophthalmology Clinic, Inc (NPI 1184624009, Philadelphia, PA); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 15, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1598487597) · Data from the CMS NPPES public registry.