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GARY MICHAEL PISANCHYN OD
NPI 1598712846
Optometrist in Clarks Summit, PA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
95.26/100
CMS Quality Rating
503 S STATE ST, CLARKS SUMMIT, PA 18411(570) 587-5186 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Nov 6, 2023 (2 updates tracked since 2023).

About Gary Michael Pisanchyn Od NPPES

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

GARY MICHAEL PISANCHYN OD (NPI 1598712846) is an individual optometrist in Clarks Summit, Pennsylvania, licensed in New York (004514-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scranton, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1598712846
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGARY MICHAEL PISANCHYNCredential: OD
Location Address503 S STATE STClarks Summit, PA 18411-1557
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (667) 354-5528
Phone(570) 587-5186
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 30, 2006
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1598712846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · 004514-1✔ Licensed in PA · OEG003475
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
503 S STATE ST, Clarks Summit, PA 18411
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Secondary Practice Location 1

Location 1200 Mifflin AveScranton, PA 18503-1982 · Phone (570) 342-3145

Other Identifiers 1

Medicaid00974465NY

Accepted Insurance

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

Gary Michael Pisanchyn Od 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 ID9638282916
PECOS Enrollment IDI20110621000059, I20250915002984
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 6

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.
347 services347 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.
74 services65 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.
37 services37 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.
34 services34 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).
30 services30 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18411 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost84.23

Other Providers at the Same Location NPPES 5

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

STANLEY W BOLAND MD
Ophthalmology
503 S STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-5186
OPTICAL NEI INC
Eyewear Supplier
503 S STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-5186
MARY JENNIFER FRATTALI MD
Ophthalmology
503 S STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-5186
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Durable Medical Equipment & Medical Supplies
503 S STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-5186
MICHAEL R BOLAND OD
Optometrist
503 S STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-5186

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 Gary Pisanchyn's NPI number?

The NPI number for Gary Pisanchyn is 1598712846. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Gary Pisanchyn located?

Gary Pisanchyn practices at 503 S State St, Clarks Summit, PA 18411. The listed phone number is (570) 587-5186.

What is Gary Pisanchyn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gary Pisanchyn enrolled in Medicare?

Yes. Gary Pisanchyn 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 Gary Pisanchyn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Gary Pisanchyn 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 Gary Pisanchyn was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.