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DR. DANIJEL JOSIP PERICIC MD
NPI 1871055095
Ophthalmology in Philadelphia, PA

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
840 WALNUT ST STE 930, PHILADELPHIA, PA 19107(215) 928-3130(215) 592-1923 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Apr 5, 2019 (2 updates tracked since 2019).

About Dr. Danijel Josip Pericic Md NPPES

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

DR. DANIJEL JOSIP PERICIC MD (NPI 1871055095) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481172) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of Cooper Medical School Of Rowan University (2019).

NPPES Registry Identity

NPI1871055095
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DANIJEL JOSIP PERICICCredential: MD
Location Address840 WALNUT ST STE 930Philadelphia, PA 19107-5109
Mailing Address840 Walnut StPhiladelphia, PA 19107-5109 · (215) 440-3160 · Fax (215) 928-3465
Phone(215) 928-3130
Fax(215) 592-1923
Sole ProprietorNo
Medical School CMSCooper Medical School Of Rowan UniversityGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1871055095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD481172
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.
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License MD481172 (PA)
840 WALNUT ST STE 930, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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. Danijel Josip Pericic Md 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 ID7315273174
PECOS Enrollment IDI20230601001433
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 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.
54 services48 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.
44 services37 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).
42 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
24 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

Other Providers at the Same Location NPPES 4

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

SHRUTHI HARISH BINDIGANAVILE MD
Ophthalmology (Neuro-ophthalmology)
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3130
SARAH E. THORNTON M.D.
Ophthalmology
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3130
MARK L MOSTER MD
Ophthalmology (Neuro-ophthalmology)
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3130
MISO GOSTIMIR MD, MPH
Ophthalmology
840 WALNUT ST STE 930
PHILADELPHIA, PA 19107
Philadelphia County (215) 928-3130

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 Danijel Pericic's NPI number?

The NPI number for Danijel Pericic is 1871055095. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Danijel Pericic located?

Danijel Pericic practices at 840 Walnut St Ste 930, Philadelphia, PA 19107. The listed phone number is (215) 928-3130.

What is Danijel Pericic's specialty?

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

Is Danijel Pericic enrolled in Medicare?

Yes. Danijel Pericic 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 Danijel Pericic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Danijel Pericic 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.

Is Danijel Pericic affiliated with any hospitals?

According to CMS data, Danijel Pericic is affiliated with Riddle Memorial Hospital and Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Danijel Pericic was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.