DR. GARETH M. C. LEMA MD, PHD
NPI 1982802476
Ophthalmology - Retina Specialist in New York, NY

Q: What is Gareth Lema's NPI number?

The NPI number for Gareth Lema is 1982802476. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Q: What is Gareth Lema's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Gareth Lema was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment

17 E 102ND ST, NEW YORK, NY 10029(212) 241-0939 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, Dec 19, 2018, Jun 11, 2018 (3 updates tracked since 2018).

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About Dr. Gareth M. C. Lema Md, Phd NPPES

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

DR. GARETH M. C. LEMA MD, PHD (NPI 1982802476) is an individual retina specialist in New York, New York, licensed in New York (260449) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1982802476

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. GARETH M. C. LEMACredential: MD, PHD

Location Address17 E 102ND STNew York, NY 10029

Mailing Address1 Gustave L Levy Pl # 1183New York, NY 10029-6504 · (212) 241-6987

Phone(212) 241-0939

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2007

Enumeration DateJuly 5, 2007

Last NPPES UpdateJune 12, 20193 updates tracked since enumeration

✔ NPI 1982802476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in NY · 260449

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 260449 (NY)

17 E 102ND ST, New York, NY 10029

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Secondary Practice Location 1

Location 11176 Main StBuffalo, NY 14209 · Phone (716) 912-9191

Other Identifiers 2

Medicaid03361828NY

OtherJ400088956Medicare

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. Gareth M. C. Lema Md, Phd 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 ID2264600543

PECOS Enrollment IDI20110713000438

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 7

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.

197 services86 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.

92 services27 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.

91 services58 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.

23 services22 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.

19 services11 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.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330100

Location230 Second AveNew York, NY 10003 · New York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 20

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

JENNIFER WEINTRAUB

Internal Medicine