1. Home
  2. Directory
  3. Louisiana
  4. Metairie
  5. Ophthalmology
  6. NPI Profile

DR. DONALD P CERISE M.D.
NPI 1851466585
Ophthalmology in Metairie, LA

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
98.26/100
CMS Quality Rating
4324 VETERANS MEMORIAL BLVD, SUITE 102, METAIRIE, LA 70006(504) 455-9825(504) 883-7669 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald P Cerise M.d. NPPES

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

DR. DONALD P CERISE M.D. (NPI 1851466585) is an individual ophthalmology provider in Metairie, Louisiana, licensed in Louisiana (014919) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1978).

NPPES Registry Identity

NPI1851466585
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DONALD P CERISECredential: M.D.
Location Address4324 VETERANS MEMORIAL BLVD, SUITE 102Metairie, LA 70006-5445
Mailing AddressDept At 952581Atlanta, GA 31192-2581 · (504) 455-9825 · Fax (504) 883-7669
Phone(504) 455-9825
Fax(504) 883-7669
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1978
Enumeration DateNovember 21, 2006
Last NPPES UpdateDecember 11, 2008
✔ NPI 1851466585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 014919
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.
4324 VETERANS MEMORIAL BLVD, Metairie, LA 70006
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN5L093LA
Medicare UPINB61194
Medicare PIN5L093CF28LA
Medicare PIN5L093CD23LA
Medicaid1329789LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. Donald P Cerise 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 ID5991801334
PECOS Enrollment IDI20120327000184
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 9

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.
574 services498 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
506 services443 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.
374 services242 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).
105 services103 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.
46 services46 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.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

98.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.2

Other Providers at the Same Location NPPES 15

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

DR. THOMAS TERRELL MCGINN JR. O.D
Optometrist
4324 VETERANS MEMORIAL BLVD, SUITE 104
METAIRIE, LA 70006
Jefferson Parish (504) 455-9825
MILES H. FRIEDLANDER, APMC
Ophthalmology
4324 VETERANS MEMORIAL BLVD, SUITE 104
METAIRIE, LA 70006
Jefferson Parish (504) 455-0068
EYE LASER INSTITUTE
Clinic/Center (Ophthalmologic Surgery)
4324 VETERANS MEMORIAL BLVD, SUITE 108
METAIRIE, LA 70006
Jefferson Parish (504) 883-7668
OUTPATIENT EYE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
4324 VETERANS MEMORIAL BLVD, SUITE 101
METAIRIE, LA 70006
Jefferson Parish (504) 455-4046
DR. GEORGE C STUMPF JR. O.D
Optometrist
4324 VETERANS MEMORIAL BLVD, SUITE 104
METAIRIE, LA 70006
Jefferson Parish (504) 455-9825
EYECARE PROVIDERS, LLC
Ophthalmology
4324 VETERANS MEMORIAL BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 455-9825
DR. GABRIEL KEVIN KASOVICH OD
Optometrist
4324 VETERANS MEMORIAL BLVD, SUITE 104
METAIRIE, LA 70006
Jefferson Parish (504) 455-9825
DR. LENI T SUMICH II M.D.
Ophthalmology
4324 VETERANS MEMORIAL BLVD, SUITE 102
METAIRIE, LA 70006
Jefferson Parish (504) 455-9825

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 Donald Cerise's NPI number?

The NPI number for Donald Cerise is 1851466585. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Donald Cerise located?

Donald Cerise practices at 4324 Veterans Memorial Blvd Suite 102, Metairie, LA 70006. The listed phone number is (504) 455-9825.

What is Donald Cerise's specialty?

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

Is Donald Cerise enrolled in Medicare?

Yes. Donald Cerise 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 Donald Cerise accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Donald Cerise 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 Donald Cerise was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.