ADAM NUSGART OD
NPI 1821578170
Optometrist in Perry Point, MD

Active since August 16, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
PERRY POINT VA MEDICAL CENTER, OPTOMETRY CLINIC (11CI), PERRY POINT, MD 21902(410) 642-2411(410) 642-1048 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2019, Aug 16, 2018 (2 updates tracked since 2018).

About Adam Nusgart Od NPPES

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

ADAM NUSGART OD (NPI 1821578170) is an individual optometrist in Perry Point, Maryland, licensed in Ohio (OPT.006677) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821578170
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameADAM NUSGARTCredential: OD
Location AddressPERRY POINT VA MEDICAL CENTER, OPTOMETRY CLINIC (11CI)Perry Point, MD 21902
Mailing Address855 W Market St, Ste ALima, OH 45805-2764 · (419) 228-7432
Fax(410) 642-1048
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 16, 2018
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
✔ NPI 1821578170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · OPT.006677
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
PERRY POINT VA MEDICAL CENTER, Perry Point, MD 21902

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Nusgart Od 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 ID5294068870
PECOS Enrollment IDI20190729001538
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adam Nusgart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
33541 AURORA RD
Solon, OH 44139
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
Ophthalmology
1275 N HIGH ST
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Tri-State Centers For Sight Inc
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
42 services42 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21902 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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
94%254 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
96%113 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
99%217 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
87%90 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,641 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%946 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
77%44 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 562 patients
Patients screened: 100% · 562 patients
94%47 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
90%399 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%386 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 970 patients
Patients totalRate: 0% · 970 patients
0%970 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 9

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

Physical Medicine & Rehabilitation
PERRY POINT VA MEDICAL CENTER, PERRY POINT
PERRY POINT, MD 21902
Nurse Practitioner (Gerontology)
PERRY POINT VA MEDICAL CENTER, AVE. D.
PERRY POINT, MD 21902
Psychologist (Clinical)
PERRY POINT VA MEDICAL CENTER, BUILDING 364, RM C108
PERRY POINT, MD 21902
Social Worker (Clinical)
PERRY POINT VA MEDICAL CENTER, 23B
PERRY POINT, MD 21902
Psychologist
PERRY POINT VA MEDICAL CENTER, BLDG. 80 H
PERRY POINT, MD 21902
Internal Medicine
PERRY POINT VA MEDICAL CENTER, BUILDING 1H ROOM 206
PERRY POINT, MD 21902
Occupational Therapist
PERRY POINT VA MEDICAL CENTER
PERRY POINT, MD 21902
Psychologist
PERRY POINT VA MEDICAL CENTER, WARD 364A
PERRY POINT, MD 21902

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 Adam Nusgart's NPI number?

The NPI number for Adam Nusgart is 1821578170. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Adam Nusgart located?

Adam Nusgart practices at Perry Point VA Medical Center Optometry Clinic (11ci), Perry Point, MD 21902. The listed phone number is (410) 642-2411.

What is Adam Nusgart's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adam Nusgart enrolled in Medicare?

Yes. Adam Nusgart 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.

Which organizations bill Medicare for Adam Nusgart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Nusgart reassigns Medicare benefits to 2 organizations: Aeg Ohio Professional PC (Solon, OH) and Tristate Centers For Sight, Inc. (Hillsboro, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Nusgart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Nusgart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Adam Nusgart 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 Adam Nusgart was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.