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MICHAEL DONALD RADOSEVICH M.D., P.H.D.
NPI 1932136827
Ophthalmology in Albany, NY

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1365 WASHINGTON AVE., SUITE 101, ALBANY, NY 12206(518) 437-1111(518) 435-1114 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Donald Radosevich M.d., P.h.d. NPPES

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

MICHAEL DONALD RADOSEVICH M.D., P.H.D. (NPI 1932136827) is an individual ophthalmology provider in Albany, New York, licensed in New York (252133) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1932136827
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL DONALD RADOSEVICHCredential: M.D., P.H.D.
Location Address1365 WASHINGTON AVE., SUITE 101Albany, NY 12206-1099
Mailing Address5 Mountain Ledge DrWilton, NY 12831-2539 · (518) 437-1111 · Fax (518) 435-1114
Phone(518) 437-1111
Fax(518) 435-1114
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 1, 2015
✔ NPI 1932136827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NY · 252133✔ Licensed in IA · 36488
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.
1365 WASHINGTON AVE., Albany, NY 12206
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Other Identifiers 8

Medicare UPINI59169
Medicare PINBA1415NY
Medicare UPINI59169NY
Medicare PINP00405456IA
Other19934IA · Wellmark Bcbs
Medicaid03092862NY
Medicaid0727685IA
Medicare PINI18020IA

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

Michael Donald Radosevich M.d., P.h.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 ID3274537469
PECOS Enrollment IDI20090505000092
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.

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.
1,668 services496 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.
1,459 services608 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
672 services68 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.
523 services105 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
122 services82 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
109 services27 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12206 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.61
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
45%626 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%20 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
99%356 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
51%176 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,853 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
48%23 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,582 patients
Patients totalRate: 0% · 1,582 patients
0%1,582 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.

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 Michael Radosevich's NPI number?

The NPI number for Michael Radosevich is 1932136827. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Michael Radosevich located?

Michael Radosevich practices at 1365 Washington Ave. Suite 101, Albany, NY 12206. The listed phone number is (518) 437-1111.

What is Michael Radosevich's specialty?

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

Is Michael Radosevich enrolled in Medicare?

Yes. Michael Radosevich 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.

Is Michael Radosevich affiliated with any hospitals?

According to CMS data, Michael Radosevich is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Michael Radosevich was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.