Individual provider Active NPI

Michael Herceg, DO

  • Ophthalmology Physician
  • Binghamton, NY
National Provider Identifier
1649492554
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
247466-1 Issued in NY
Practice address
33 Mitchell Ave
Suite 207
Binghamton, NY 13903-1674
Phone
(607) 723-7586
Fax
(607) 723-1989
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS014046 PA
Ophthalmology Physician 207W00000X 247466-1 NY Primary

Addresses

Primary practice location

33 Mitchell Ave
Suite 207
Binghamton, NY 13903-1674

Mailing address

22 Pine Meadow Rd
Vestal, NY 13850-3042
Phone (607) 217-5372

Other identifiers 3

IdentifierTypeStateIssuer
02061489OtherNYMEDICAID GROUP ID
AA0477OtherNYMEDICARE GROUP PROVIDER
02992038MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000500 NY Practitioner - OphthalmologyPractitioner - Osteopathic Manipulative Medicine 6204937170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Binghamton Ophthalmology Associates PCGroup PAC ID 1759361165, 2 clinicians

Practice addresses (Care Compare)

33 Mitchell Ave
Suite 207
Binghamton, NY 13903-1642
Phone (607) 723-7586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.33 of 100Reported as group
Quality
96.54
Improvement activities
40
Cost
75.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery584
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247466-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Binghamton Ophthalmology Associates, P.C. Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Binghamton Ophthalmology Associates, P.C. PastSince Jul 1, 2008 Accepting new patients

Locations

33 Mitchell Ave
Ste 207
Binghamton, NY 13903
Phone (607) 723-7586

530 Columbia Dr
Johnson City, NY 13790
Phone (607) 729-5016

Interoperability endpoints

  • Direct secure messaging: drherceg@binghamtoneyeassociates.medentdirect.com

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1649492554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE MEADOW RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503042",
            "telephone_number": "607-217-5372",
            "fax_number": "607-723-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MITCHELL AVE",
            "address_2": "SUITE 207",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031674",
            "telephone_number": "607-723-7586",
            "fax_number": "607-723-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCEG",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS014046",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "247466-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP ID",
            "identifier": "02061489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "AA0477",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02992038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.