JOHN F ROMANELLI M.D.
NPI 1811998412
Ophthalmology in Smithtown, NY

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
222 E MAIN ST, SUITE 330, SMITHTOWN, NY 11787(631) 724-4488(631) 366-0958 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John F Romanelli M.d. NPPES

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

JOHN F ROMANELLI M.D. (NPI 1811998412) is an individual ophthalmology provider in Smithtown, New York, licensed in New York (174831) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Harvard Medical School (1987).

NPPES Registry Identity

NPI1811998412
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN F ROMANELLICredential: M.D.
Location Address222 E MAIN ST, SUITE 330Smithtown, NY 11787-2871
Mailing Address222 E Main St, Suite 330Smithtown, NY 11787-2871 · (631) 724-4488
Fax(631) 366-0958
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1987
Enumeration DateAugust 3, 2005
Last NPPES UpdateNovember 16, 2010
NPI 1811998412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 174831
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.
222 E MAIN ST, Smithtown, NY 11787

Other Identifiers 10

Other29761PHip
Medicare UPINE89295
Medicare PIN90F38NW931
Other180041776Palmetto-gba
Other800780Unitedhealthcare
Other0400201Ghi - Group Health Ins.
Medicaid01361811NY
Other0C5556Healthnet
Other119174Aetna Health Plans
OtherCS271Oxford Health Plans

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

John F Romanelli 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 ID4688674799
PECOS Enrollment IDI20070112000297
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 10

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.
1,445 services1,343 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
536 services510 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
472 services364 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.
310 services310 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).
306 services278 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.
296 services271 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Referred Medical Equipment & Supplies CMS DME claims 7

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
6 suppliers23 claims23 services$51.29 avg. paid by Medicare
Variable asphericity lens, single vision, full field, glass or plastic, per lens V2410
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims24 services$91.89 avg. paid by Medicare
Special base curve, glass or plastic, per lens V2730
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers15 claims30 services$17.46 avg. paid by Medicare
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens V2745
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims22 services$11.09 avg. paid by Medicare
Anti-reflective coating, per lens V2750
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers20 claims40 services$17.03 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers22 claims44 services$13.43 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 12

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

Specialist
222 E MAIN ST, SUITE 228
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 215
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787
Psychiatry & Neurology (Neurology)
222 E MAIN ST, SIUTE 101
SMITHTOWN, NY 11787
Speech-Language Pathologist
222 E MAIN ST
SMITHTOWN, NY 11787
Dentist
222 E MAIN ST, SUITE 316
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787

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 John Romanelli's NPI number?

The NPI number for John Romanelli is 1811998412. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is John Romanelli located?

John Romanelli practices at 222 E Main St Suite 330, Smithtown, NY 11787. The listed phone number is (631) 724-4488.

What is John Romanelli's specialty?

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

Is John Romanelli enrolled in Medicare?

Yes. John Romanelli 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.

Is John Romanelli affiliated with any hospitals?

According to CMS data, John Romanelli is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for John Romanelli was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.