DR. RICHARD A GARFINKEL M.D.
NPI 1831163997
Ophthalmology - Retina Specialist in Chevy Chase, MD

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
99.6/100
CMS Quality Rating
5454 WISCONSIN AVE STE 650, CHEVY CHASE, MD 20815(301) 656-8100(301) 652-2957 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2020, Apr 9, 2019, Apr 25, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Richard A Garfinkel M.d. NPPES

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

DR. RICHARD A GARFINKEL M.D. (NPI 1831163997) is an individual retina specialist in Chevy Chase, Maryland, licensed in Virginia (0101042520) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of New York University School Of Medicine (1983).

NPPES Registry Identity

NPI1831163997
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RICHARD A GARFINKELCredential: M.D.
Location Address5454 WISCONSIN AVE STE 650Chevy Chase, MD 20815-6956
Mailing Address7501 Greenway Center Dr, Suite #300Greenbelt, MD 20770-3514 · (301) 474-4679 · Fax (301) 474-7182
Fax(301) 652-2957
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1983
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 27, 20205 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1831163997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in VA · 0101042520✔ Licensed in DC · MD17393
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD17393 (DC), 0101042520 (VA), D0037044 (MD)
5454 WISCONSIN AVE STE 650, Chevy Chase, MD 20815

Secondary Practice Location 1

Location 18270 Willow Oaks Corporate Dr Ste 600Fairfax, VA 22031-4522 · Phone (703) 698-9335 · Fax (301) 474-7182

Other Identifiers 3

Medicaid1366498545VA
Medicaid283241101MD
Medicaid024856800DC

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

Dr. Richard A Garfinkel 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 ID2961595541
PECOS Enrollment IDI20100108000538
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 Richard Garfinkel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
110 IRVING STREET, NW, SUITE 1A-19
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 74 clinicians in this Medicare group
Ophthalmology
7501 GREENWAY CENTER DR STE 700
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia enrollment
  • 69 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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,960 services40 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.
3,165 services1,215 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.
2,877 services1,021 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
2,442 services863 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,096 services249 patients
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.
453 services380 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

99.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.53
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
97%643 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
100%240 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%45 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%228 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,334 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
73%1,854 patients3/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%56 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,409 patients
Patients screened: 100% · 1,409 patients
95%22 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%229 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,913 patients
Patients totalRate: 0% · 1,913 patients
0%1,913 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 2

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

Ophthalmology
5454 WISCONSIN AVE STE 650
CHEVY CHASE, MD 20815
Ophthalmology (Retina Specialist)
5454 WISCONSIN AVE STE 650
CHEVY CHASE, MD 20815

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 Garfinkel's NPI number?

The NPI number for Richard Garfinkel is 1831163997. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Richard Garfinkel located?

Richard Garfinkel practices at 5454 Wisconsin Ave Ste 650, Chevy Chase, MD 20815. The listed phone number is (301) 656-8100.

What is Richard Garfinkel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Richard Garfinkel enrolled in Medicare?

Yes. Richard Garfinkel 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 Richard Garfinkel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Garfinkel reassigns Medicare benefits to 2 organizations: Washington National Eye Center (Washington, DC) and The Retina Group Of Washington, PLLC (Greenbelt, MD). 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 Richard Garfinkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Garfinkel accept?

Health plans from Oscar Health list Richard Garfinkel 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 Garfinkel was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.