DR. BRIAN THOMAS MCGUINNESS M.D.
NPI 1720014574
Ophthalmology in East Patchogue, NY

Active since June 23, 2006PECOS Enrolled
100/100
CMS Quality Rating
250 PATCHOGUE YAPHANK RD, SUITE 1, EAST PATCHOGUE, NY 11772(631) 475-3355 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian Thomas Mcguinness M.d. NPPES

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

DR. BRIAN THOMAS MCGUINNESS M.D. (NPI 1720014574) is an individual ophthalmology provider in East Patchogue, New York, licensed in New York (165780) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720014574
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRIAN THOMAS MCGUINNESSCredential: M.D.
Location Address250 PATCHOGUE YAPHANK RD, SUITE 1East Patchogue, NY 11772-4800
Mailing Address250 Patchogue Yaphank Rd, Suite 1East Patchogue, NY 11772-4800 · (631) 475-3355
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1720014574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 165780
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.

250 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772

Other Identifiers 7

Medicare ID-Type Unspecified33E101Medicare Provider Number
Other0499826NY · Ghi
Medicare UPINA62247
Medicaid1217014NY
OtherCS758NY · Oxford Health Plans
Other33E101NY · Empire Bc/bs
Other180010081NY · Railroad Medicare Uhc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brian Thomas Mcguinness M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
1,084 services1,068 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
856 services624 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).
511 services484 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.
373 services341 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.
364 services364 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.
358 services323 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Dentist (Oral and Maxillofacial Surgery)
250 PATCHOGUE YAPHANK RD, SUITE 10
EAST PATCHOGUE, NY 11772
Specialist
250 PATCHOGUE YAPHANK RD, SUITE 5
EAST PATCHOGUE, NY 11772
Surgery
250 PATCHOGUE YAPHANK RD, SUITE 7
EAST PATCHOGUE, NY 11772
Urology
250 PATCHOGUE YAPHANK RD, SUITE 11 B
EAST PATCHOGUE, NY 11772
Dentist (General Practice)
250 PATCHOGUE YAPHANK RD, SUITE 8
EAST PATCHOGUE, NY 11772
Ophthalmology
250 PATCHOGUE YAPHANK RD, SUITE 1
EAST PATCHOGUE, NY 11772
Surgery
250 PATCHOGUE YAPHANK RD, SUITE #17
EAST PATCHOGUE, NY 11772
Clinical Nurse Specialist (Perioperative)
250 PATCHOGUE YAPHANK RD, SUITE #7
EAST PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720014574, enumerated as an "individual" on June 23, 2006.

The provider is located at 250 PATCHOGUE YAPHANK RD SUITE 1 EAST PATCHOGUE, NY 11772 and the phone number is (631) 475-3355.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Blue. Please consult your insurance carrier or call the provider to verify.