RICHARD E BRAUNSTEIN M.D.
NPI 1801803150
Ophthalmology in New York, NY

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
635 W 165TH ST, BOX 92, NEW YORK, NY 10032(212) 305-9535 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard E Braunstein M.d. NPPES

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

RICHARD E BRAUNSTEIN M.D. (NPI 1801803150) is an individual ophthalmology provider in New York, New York, licensed in New York (183296-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1989).

NPPES Registry Identity

NPI1801803150
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRICHARD E BRAUNSTEINCredential: M.D.
Location Address635 W 165TH ST, BOX 92New York, NY 10032-3724
Mailing Address635 W 165th St, Box 92New York, NY 10032-3724 · (212) 305-9535
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1989
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1801803150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 183296-1
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.
635 W 165TH ST, New York, NY 10032

Other Identifiers 3

Medicare ID-Type Unspecified02J811
Medicaid01638480NY
Medicare UPINF60774

Accepted 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

Richard E Braunstein 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 ID941112403
PECOS Enrollment IDI20031103000574
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 7

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.

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.
93 services87 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.
89 services85 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.
74 services57 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.
46 services46 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
45 services45 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.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Psychologist (Clinical)
635 W 165TH ST, 6TH FLOOR
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST, BOX 11
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
Psychologist (School)
635 W 165TH ST, ROOM 636A
NEW YORK, NY 10032

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 Richard Braunstein's NPI number?

The NPI number for Richard Braunstein is 1801803150. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Richard Braunstein located?

Richard Braunstein practices at 635 W 165th St Box 92, New York, NY 10032. The listed phone number is (212) 305-9535.

What is Richard Braunstein's specialty?

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

Is Richard Braunstein enrolled in Medicare?

Yes. Richard Braunstein 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 Richard Braunstein accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Richard Braunstein 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 Richard Braunstein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.