Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RICHARD JAMES MACKOOL MD
NPI 1912963455
Ophthalmology in Astoria, NY

Active since April 25, 2006Opted out of Medicare · through Jan 1, 2028
3127 41ST ST, ASTORIA, NY 11103(718) 728-3400(718) 721-7562 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard James Mackool Md NPPES

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

DR. RICHARD JAMES MACKOOL MD (NPI 1912963455) is an individual ophthalmology provider in Astoria, New York, licensed in New York (105346) and active in the NPI registry since April 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912963455
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICHARD JAMES MACKOOLCredential: MD
Location Address3127 41ST STAstoria, NY 11103-3901
Mailing Address21 Corrigan LnGreenwich, CT 06831-2904 · (718) 728-3400 · Fax (718) 721-7562
Fax(718) 721-7562
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1912963455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 105346
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.

3127 41ST ST, Astoria, NY 11103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Richard James Mackool Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11103 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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.

Ophthalmology
3127 41ST ST
ASTORIA, NY 11103
Ophthalmology
3127 41ST ST
ASTORIA, NY 11103
Anesthesiology
3127 41ST ST
ASTORIA, NY 11103
Ophthalmology
3127 41ST ST
ASTORIA, NY 11103
Ophthalmology
3127 41ST ST
ASTORIA, NY 11103
Ophthalmology
3127 41ST ST
ASTORIA, NY 11103
Plastic Surgery
3127 41ST ST
ASTORIA, NY 11103
Anesthesiology
3127 41ST ST
ASTORIA, NY 11103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912963455, enumerated as an "individual" on April 25, 2006.

The provider is located at 3127 41ST ST ASTORIA, NY 11103 and the phone number is (718) 728-3400.

Ophthalmology with taxonomy code 207W00000X.