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DONATO ROCCO CARUSI M.D.
NPI 1740243039
Ophthalmology in Johnstown, PA

Active since April 08, 2006PECOS Enrolled
999 EISENHOWER BLVD, STE I, JOHNSTOWN, PA 15904(814) 535-7661(814) 535-8315 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donato Rocco Carusi M.d. NPPES

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

DONATO ROCCO CARUSI M.D. (NPI 1740243039) is an individual ophthalmology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD036849E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740243039
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDONATO ROCCO CARUSICredential: M.D.
Location Address999 EISENHOWER BLVD, STE IJohnstown, PA 15904-3347
Mailing Address110 Marilyn WayJohnstown, PA 15904-3253 · (814) 242-9500 · Fax (814) 535-8315
Phone(814) 535-7661
Fax(814) 535-8315
Sole ProprietorYes
Enumeration DateApril 8, 2006
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1740243039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD036849E
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 ListedEyewear SupplierTaxonomy 332H00000X · License MD036849E (PA)
999 EISENHOWER BLVD, Johnstown, PA 15904
Open in Google Maps ↗

Other Identifiers 1

Medicaid1059209PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donato Rocco Carusi 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15904 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.

Reported Quality Measures

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.
97%160 patients4/55-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.
99%576 patients5/55-star benchmark: 99%
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…
99%576 patients4/55-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.

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 Donato Carusi's NPI number?

The NPI number for Donato Carusi is 1740243039. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Donato Carusi located?

Donato Carusi practices at 999 Eisenhower Blvd Ste I, Johnstown, PA 15904. The listed phone number is (814) 535-7661.

What is Donato Carusi's specialty?

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

Is Donato Carusi enrolled in Medicare?

Yes. Donato Carusi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donato Carusi was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.