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DR. MICHAEL PENNACHIO M.D.
NPI 1750312005
Ophthalmology in Leesburg, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
640 S LAKE ST, LEESBURG, FL 34748(352) 728-1717(352) 728-8467 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Pennachio M.d. NPPES

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

DR. MICHAEL PENNACHIO M.D. (NPI 1750312005) is an individual ophthalmology provider in Leesburg, Florida, licensed in Florida (ME0045426) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1981).

NPPES Registry Identity

NPI1750312005
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL PENNACHIOCredential: M.D.
Location Address640 S LAKE STLeesburg, FL 34748-5927
Mailing Address1100 S Grove StEustis, FL 32726-5524 · (352) 728-1717 · Fax (352) 728-8467
Phone(352) 728-1717
Fax(352) 728-8467
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1981
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 3, 2008
✔ NPI 1750312005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME0045426
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.
640 S LAKE ST, Leesburg, FL 34748
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Other Identifiers 7

Other4779733 003Cigna
Medicare NSC0583930001FL
Medicare ID-Type Unspecified30765Z
Medicare PIN1700960507FL
Medicare PIN1750312005FL
OtherCC4829FL · Railroad Medicare
Medicare UPIND54116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Health First Commercial Plans, Inc..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

Dr. Michael Pennachio 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 ID8921112673
PECOS Enrollment IDI20110221000656
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 11

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.
1,617 services1,595 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.
1,240 services725 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).
461 services458 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.
340 services337 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.
266 services266 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
217 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
97%404 patients4/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
97%421 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%160 patients5/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%420 patients
Diabetes: Eye Exam
100%508 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,924 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%1,156 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,695 patients
Patients screened: 100% · 1,695 patients
91%81 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%740 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%686 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,480 patients
Patients totalRate: 0% · 3,480 patients
0%3,480 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers53 claims53 services$57.99 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims26 services$24.75 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims42 services$37.02 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims22 services$43.94 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier24 claims37 services$48.73 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier32 claims64 services$13.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. CRAIG FISHMAN M.D.
Ophthalmology
640 S LAKE ST
LEESBURG, FL 34748
Lake County (352) 360-2301
JEFFREY SHERIDAN M.D.
Ophthalmology
640 S LAKE ST
LEESBURG, FL 34748
Lake County (352) 360-2301
TOTAL EYE CARE SURGERY CENTER INC
Clinic/Center (Ambulatory Surgical)
640 S LAKE ST
LEESBURG, FL 34748
Lake County (352) 728-1952

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 Pennachio's NPI number?

The NPI number for Michael Pennachio is 1750312005. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Michael Pennachio located?

Michael Pennachio practices at 640 S Lake St, Leesburg, FL 34748. The listed phone number is (352) 728-1717.

What is Michael Pennachio's specialty?

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

Is Michael Pennachio enrolled in Medicare?

Yes. Michael Pennachio 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 Michael Pennachio accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Health First Commercial Plans, Inc. list Michael Pennachio 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 Michael Pennachio was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.