Individual provider Active NPI

Vincent Michael Imbrogno, D.O.

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1508000670
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS016252 Issued in PA
Practice address
2640 Zuck Rd
Erie, PA 16506-3151
Phone
(814) 838-9555
Fax
(814) 835-7776
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS016252 PA Primary

Addresses

Primary practice location

2640 Zuck Rd
Erie, PA 16506-3151

Mailing address

2640 Zuck Rd
Erie, PA 16506-3151
Phone (814) 838-9555

Other identifiers 1

IdentifierTypeStateIssuer
1028650000003MedicaidPA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718000469 PA Practitioner - Ophthalmology 0547402166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard M Levin MD IncGroup PAC ID 5395819239, 5 clinicians

Practice addresses (Care Compare)

2640 Zuck Rd
Erie, PA 16506-3151
Phone (814) 838-9555

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
93.2
Improvement activities
40
Cost
72.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS016252PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Options Ophthalmology PastSince Jul 28, 2014 Accepting new patients
University Ophthalmology Services Inc. Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vincent.imbrogno@direct.coe.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1508000670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063151",
            "telephone_number": "814-838-9555",
            "fax_number": "814-835-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063151",
            "telephone_number": "814-838-9555",
            "fax_number": "814-835-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBROGNO",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS016252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028650000003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.