MISO GOSTIMIR MD, MPH
NPI 1598487597
Ophthalmology in Philadelphia, PA

Q: 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.

Q: What is Miso Gostimir's specialty?

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

Q: 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 3 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.

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment

88.33/100

CMS Quality Rating

840 WALNUT ST STE 930, PHILADELPHIA, PA 19107(215) 928-3130 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1598487597

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMISO GOSTIMIRCredential: MD, MPH

Location Address840 WALNUT ST STE 930Philadelphia, PA 19107-5599

Mailing Address840 Walnut St Ste 930Philadelphia, PA 19107-5109 · (215) 928-3130

Phone(215) 928-3130

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 15, 2022

NPPES CertifiedSeptember 15, 2022

✔ NPI 1598487597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD476883

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.

Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License MD476883 (PA)

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License MD476883 (PA)

840 WALNUT ST STE 930, Philadelphia, PA 19107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID1153707005

PECOS Enrollment IDI20241101002968

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 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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

58 services58 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

13 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Physician 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.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

88.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.67

Promoting Interoperability

100

Improvement Activities

Cost

69.44

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.

SHRUTHI HARISH BINDIGANAVILE MD

Ophthalmology (Neuro-ophthalmology)

840 WALNUT ST STE 930
PHILADELPHIA, PA 19107

Philadelphia County (215) 928-3130

SARAH E. THORNTON M.D.

Ophthalmology

840 WALNUT ST STE 930
PHILADELPHIA, PA 19107

Philadelphia County (215) 928-3130

MARK L MOSTER MD

Ophthalmology (Neuro-ophthalmology)

840 WALNUT ST STE 930
PHILADELPHIA, PA 19107

Philadelphia County (215) 928-3130

DR. DANIJEL JOSIP PERICIC MD

Ophthalmology

840 WALNUT ST STE 930
PHILADELPHIA, PA 19107

Philadelphia County (215) 928-3130

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.

What insurance does Miso Gostimir accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and Blue Cross and Blue Shield of Louisiana and 6 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 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 3 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.