Active NPI
Philip Carmine Fracassa, M.D.
- Ophthalmology Physician
- Franklin Square, NY
National Provider Identifier
1023072949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 122364-1
- Practice address
- 393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227 - Phone
- (516) 352-1380
- Fax
- (516) 352-1381
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 122364-1 | NY | Primary |
Addresses
Primary practice location
393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227
Mailing address
393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227
Phone (516) 352-1380
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660440 | Other | NY | HEALTHCARE PARTNERS |
| AS639 | Other | NY | OXFORD HEALTH PLANS |
| 0094688 | Other | NY | GHI |
| 320111 | Other | NY | BLUE CROSS/BUE SHIELD |
| 25403P | Other | NY | HIP |
| 884939 | Other | NY | AETNA |
| 112526966 | Other | NY | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106001001 | NY | Practitioner - Ophthalmology | 5991994949 | Practice locations: Franklin Square, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Icahn School of Medicine at Mount Sinai, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
393 Franklin Ave
Franklin Square, NY 11010-1222
Phone (516) 352-1380
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.17 of 100
- Quality
- 96.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122364-1 | NY | MD | Ophthalmology Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1023072949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 FRANKLIN AVE",
"address_2": "SUITE 104",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110101227",
"telephone_number": "516-352-1380",
"fax_number": "516-352-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 FRANKLIN AVE",
"address_2": "SUITE 104",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110101227",
"telephone_number": "516-352-1380",
"fax_number": "516-352-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRACASSA",
"first_name": "PHILIP",
"middle_name": "CARMINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "122364-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS",
"identifier": "660440",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "AS639",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0094688",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BUE SHIELD",
"identifier": "320111",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "25403P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "884939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "112526966",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.