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DR. THOMAS FRANCIS PANICHELLA MD
NPI 1750474524
Ophthalmology in Huntington, NY

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
11.26/100
CMS Quality Rating
124 MAIN ST, STE 9, HUNTINGTON, NY 11743(631) 271-7136(631) 271-0533 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Francis Panichella Md NPPES

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

DR. THOMAS FRANCIS PANICHELLA MD (NPI 1750474524) is an individual ophthalmology provider in Huntington, New York, licensed in New York (194859) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1991).

NPPES Registry Identity

NPI1750474524
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS FRANCIS PANICHELLACredential: MD
Location Address124 MAIN ST, STE 9Huntington, NY 11743
Mailing Address124 Main St, Ste 9Huntington, NY 11743 · (631) 271-7136 · Fax (631) 271-0533
Phone(631) 271-7136
Fax(631) 271-0533
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1991
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1750474524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 194859
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.
124 MAIN ST, Huntington, NY 11743
Open in Google Maps ↗

Other Identifiers 1

Other194859NY · Workers' Compensation

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. Thomas Francis Panichella Md 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 ID6608908454
PECOS Enrollment IDI20100714001004
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.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
1,712 services1,066 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.
1,223 services807 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.
908 services384 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
228 services187 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
206 services205 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.
101 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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.

11.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost37.55

Reported Quality Measures

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
100%83 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.

DR. MICHEL WILLIAM GHOBRIAL M.D.
Internal Medicine
124 MAIN ST, SUITE 12
HUNTINGTON, NY 11743
Suffolk County (631) 271-6406
PETER H PRUDEN, D.D.S., P.C
Dentist (Oral and Maxillofacial Surgery)
124 MAIN ST, SUITE 2
HUNTINGTON, NY 11743
Suffolk County (631) 421-2471
DR. EDWARD ISAAC DDS
Dentist (Endodontics)
124 MAIN ST, SUITE #4
HUNTINGTON, NY 11743
Suffolk County (631) 421-9494
MS. BINA ROSENBERG-BENISCH R.N., M.S.
Registered Nurse (Psychiatric/Mental Health)
124 MAIN ST, SUITE 16
HUNTINGTON, NY 11743
Suffolk County (515) 398-5248
SMILE HUNTINGTON DENTAL, PC
Dentist
124 MAIN ST, SUITE 15
HUNTINGTON, NY 11743
Suffolk County (631) 271-2310
ERIKA ORBON LMHC
Counselor (Mental Health)
124 MAIN ST, STE 6A
HUNTINGTON, NY 11743
Suffolk County (516) 633-1270
DR. BURTON IRWIN EPSTEIN D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
124 MAIN ST, SUITE 6
HUNTINGTON, NY 11743
Suffolk County (631) 423-7857
DAVID L BENISCH, MD PC
Clinic/Center
124 MAIN ST, SUITE 16
HUNTINGTON, NY 11743
Suffolk County (631) 423-7000

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 Thomas Panichella's NPI number?

The NPI number for Thomas Panichella is 1750474524. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Thomas Panichella located?

Thomas Panichella practices at 124 Main St Ste 9, Huntington, NY 11743. The listed phone number is (631) 271-7136.

What is Thomas Panichella's specialty?

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

Is Thomas Panichella enrolled in Medicare?

Yes. Thomas Panichella 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.

When was this NPI record last updated?

The NPPES record for Thomas Panichella was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.