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DR. JOHN P SAMMARTINO MD
NPI 1952349771
Ophthalmology in Drexel Hill, PA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3019 GARRETT RD, DREXEL HILL, PA 19026(610) 259-0400(610) 259-1165 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. John P Sammartino Md NPPES

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

DR. JOHN P SAMMARTINO MD (NPI 1952349771) is an individual ophthalmology provider in Drexel Hill, Pennsylvania, licensed in Pennsylvania (MD027377E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1980).

NPPES Registry Identity

NPI1952349771
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN P SAMMARTINOCredential: MD
Location Address3019 GARRETT RDDrexel Hill, PA 19026-2216
Mailing Address3019 Garrett RdDrexel Hill, PA 19026-2216 · (610) 259-0400 · Fax (610) 259-1165
Phone(610) 259-0400
Fax(610) 259-1165
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1980
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1952349771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD027377E
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.
3019 GARRETT RD, Drexel Hill, PA 19026
Open in Google Maps ↗

Other Identifiers 1

Other0031524PA · Aetna Provider Number

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. John P Sammartino 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 ID3971792458
PECOS Enrollment IDI20110114000189
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
510 services473 patients
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.
256 services141 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
73 services45 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.
65 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
62 services62 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
43 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19026 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers15 claims15 services$44.86 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims24 services$59.99 avg. paid by Medicare
Anti-reflective coating, per lens V2750
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims23 services$17.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Sammartino's NPI number?

The NPI number for John Sammartino is 1952349771. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is John Sammartino located?

John Sammartino practices at 3019 Garrett Rd, Drexel Hill, PA 19026. The listed phone number is (610) 259-0400.

What is John Sammartino's specialty?

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

Is John Sammartino enrolled in Medicare?

Yes. John Sammartino 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.

When was this NPI record last updated?

The NPPES record for John Sammartino was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.