Active NPI
Philip A Kosvitch, O.D.
- Optometrist
- Plymouth Meeting, PA
National Provider Identifier
1225007651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000073
- Practice address
- 4060 Butler Pike
Suite 100
Plymouth Meeting, PA 19462-1560 - Phone
- (215) 836-1290
- Fax
- (215) 233-3421
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000073 | PA | Primary |
Addresses
Primary practice location
4060 Butler Pike
Suite 100
Plymouth Meeting, PA 19462-1560
Mailing address
4060 Butler Pike
Suite 100
Plymouth Meeting, PA 19462-1560
Phone (215) 836-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011172400006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 80.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000073 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wills Eye Ophthalmology Clinic, Inc | Optometrist | Current | Accepting new patients |
| Keystone Eye Associates, LLC | Optometrist | Past | Accepting new patients |
| On Site Health Services PC | Optometrist | Past | Accepting new patients |
| Ophthalmology Consulting Services, PC | Past | Accepting new patients |
Locations
840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160
4060 Butler Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (215) 836-1290
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pkosvitch@tbweye.direct.eyemdemr.com
- philip.kosvitch.p1@direct.willseye.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1184624009
Optometrist
-
- Ophthalmology Physician
- Plymouth Meeting, PA
- NPI 1710915699
-
- Optometrist
- Blue Bell, PA
- NPI 1720083553
-
- Ophthalmology Physician
- Blue Bell, PA
- NPI 1831195213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1225007651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 BUTLER PIKE",
"address_2": "SUITE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621560",
"telephone_number": "215-836-1290",
"fax_number": "215-233-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 BUTLER PIKE",
"address_2": "SUITE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621560",
"telephone_number": "215-836-1290",
"fax_number": "215-233-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSVITCH",
"first_name": "PHILIP",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011172400006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.