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DR. ALLEN J FISHMAN M.D.
NPI 1730100595
Ophthalmology in Rego Park, NY

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9229 QUEENS BLVD, SUITE 2I, REGO PARK, NY 11374(718) 261-7007(718) 459-4035 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Allen J Fishman M.d. NPPES

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

DR. ALLEN J FISHMAN M.D. (NPI 1730100595) is an individual ophthalmology provider in Rego Park, New York, licensed in New York (131063) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1730100595
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALLEN J FISHMANCredential: M.D.
Location Address9229 QUEENS BLVD, SUITE 2IRego Park, NY 11374-1056
Mailing Address9229 Queens Blvd, Suite 2iRego Park, NY 11374-1056 · (718) 261-7007 · Fax (718) 459-4035
Phone(718) 261-7007
Fax(718) 459-4035
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1730100595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 131063
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.
9229 QUEENS BLVD, Rego Park, NY 11374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.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

Dr. Allen J Fishman 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 ID2961401112
PECOS Enrollment IDI20061215000419
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Allen Fishman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allen J. Fishman, M.D., P.C.
Same address
Ophthalmology
9229 QUEENS BLVD, SUITE 2I
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Allen J Fishman MD PC
  • 2 clinicians in this Medicare group
NPI 1700968013 (718) 261-7007
Ophthalmic Consultants Of Long Island
13 mi
Ophthalmology
2000 N VILLAGE AVE, SUITE 402
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group
NPI 1285675660 (516) 766-2519

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 14

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.

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.
238 services213 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.
197 services170 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.
163 services140 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
142 services123 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.
82 services64 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).
76 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
16%191 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
86%191 patients3/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
97%39 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
87%356 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
96%321 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
74%446 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,712 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%682 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%77 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
57%576 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 96% · 517 patients
99%517 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
88%226 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%576 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 999 patients
0%999 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

GULSHAN K MALHOTRA M.D.
Ophthalmology
9229 QUEENS BLVD, 1H
REGO PARK, NY 11374
Queens County (718) 830-9000
DR. SALIL MARFATIA
Internal Medicine (Gastroenterology)
9229 QUEENS BLVD, SUITE 1A
REGO PARK, NY 11374
Queens County (718) 670-5580
MRS. XIN CHEN MD
Pediatrics
9229 QUEENS BLVD
REGO PARK, NY 11374
Queens County (718) 575-1992
VICTORY MEDICAL CARE PC
Internal Medicine
9229 QUEENS BLVD, SUITE 2A
REGO PARK, NY 11374
Queens County (347) 880-1884
DR. GAL GAZIT M.D.
Internal Medicine (Obesity Medicine)
9229 QUEENS BLVD, SUITE # CU-6
REGO PARK, NY 11374
Queens County (718) 575-8181
AT PSYCHIATRIC CARE, P.C.
Community/Behavioral Health
9229 QUEENS BLVD, SUITE 1I
REGO PARK, NY 11374
Queens County (718) 275-8073
DR. LYLE BRUCE BORMAN D.D.S.
Dentist (General Practice)
9229 QUEENS BLVD, SUITE 1K
REGO PARK, NY 11374
Queens County (718) 459-1716
CYZAR ARCA MD PC
Anesthesiology
9229 QUEENS BLVD
REGO PARK, NY 11374
Queens County (718) 963-8496

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 Allen Fishman's NPI number?

The NPI number for Allen Fishman is 1730100595. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Allen Fishman located?

Allen Fishman practices at 9229 Queens Blvd Suite 2I, Rego Park, NY 11374. The listed phone number is (718) 261-7007.

What is Allen Fishman's specialty?

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

Is Allen Fishman enrolled in Medicare?

Yes. Allen Fishman 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 Allen Fishman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allen Fishman reassigns Medicare benefits to 2 organizations: Allen J. Fishman, M.D., P.C. (Rego Park, NY) and Ophthalmic Consultants Of Long Island (Rockville Centre, NY). 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 Allen Fishman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allen Fishman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Allen Fishman 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 Allen Fishman was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.