DR. MICHAEL NISSEN M.D.
NPI 1609875442
Ophthalmology in New York, NY

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1317 3RD AVE, FIRST FLOOR, NEW YORK, NY 10021(212) 772-7000(212) 772-7001 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Nissen M.d. NPPES

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

DR. MICHAEL NISSEN M.D. (NPI 1609875442) is an individual ophthalmology provider in New York, New York, licensed in New York (188503) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Albany Medical College Of Union University (1990).

NPPES Registry Identity

NPI1609875442
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL NISSENCredential: M.D.
Location Address1317 3RD AVE, FIRST FLOORNew York, NY 10021-2995
Mailing Address240 E 82nd St, Apt. 6jNew York, NY 10028-2703 · (212) 772-7000
Fax(212) 772-7001
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1990
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 30, 2012
NPI 1609875442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 188503
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.
1317 3RD AVE, New York, NY 10021

Other Identifiers 16

Other134174737NY · Guardian Phcs
Other134174737NY · Multipaln
Other134174737NY · Empire Blue Cr/blue Sh
Other4987173005NY · Cigna
Other188503B34NY · Health First
OtherP865763NY · Oxford
Other134174737NY · United Healthcare
Other434294PNY · Hip
Other46350CNY · Magnacare
Medicaid01755637NY
Other134174737NY · Storeworkers Security Pl
Medicare UPINA400005794NY
Other134174737NY · 1199 Benefit Fund
Other161012NY · Elderplan
Other2448242NY · Aetna Ushealthcare
Other0401390NY · Ghi

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

Dr. Michael Nissen 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 ID3779505805
PECOS Enrollment IDI20060103000625
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 17

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
48,906 services177 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.
2,822 services1,366 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,038 services218 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.
838 services651 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.
827 services809 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
795 services542 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

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.

Physical Therapist
1317 3RD AVE, 6TH FLOOR
NEW YORK, NY 10021
Specialist
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
Anesthesiology
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
Clinic/Center (Endoscopy)
1317 3RD AVE, 9TH FLOOR
NEW YORK, NY 10021
Dentist (Pediatric Dentistry)
1317 3RD AVE, 10TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1317 3RD AVE, 7TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1317 3RD AVE
NEW YORK, NY 10021
Dentist (Pediatric Dentistry)
1317 3RD AVE, FL. 10
NEW YORK, NY 10021

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 Michael Nissen's NPI number?

The NPI number for Michael Nissen is 1609875442. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Michael Nissen located?

Michael Nissen practices at 1317 3rd Ave First Floor, New York, NY 10021. The listed phone number is (212) 772-7000.

What is Michael Nissen's specialty?

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

Is Michael Nissen enrolled in Medicare?

Yes. Michael Nissen 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.

Is Michael Nissen affiliated with any hospitals?

According to CMS data, Michael Nissen is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Michael Nissen was last updated on July 30, 2012. 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.