Individual provider Active NPI

Stephen G Spitzer, MD

  • Cornea and External Diseases Specialist Physician
  • Syracuse, NY
National Provider Identifier
1669456349
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
227451 Issued in NY
Practice address
5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Phone
(315) 422-4412
Fax
(315) 422-4690
NPI assigned
Dec 6, 2005
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 2274511 NY
Cornea and External Diseases Specialist Physician 207WX0120X 227451 NY Primary

Addresses

Primary practice location

5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847

Mailing address

5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone (315) 422-4412

Other identifiers 1

IdentifierTypeStateIssuer
02550585MedicaidNY

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
I20040526001045 NY Practitioner - Ophthalmology 5193706042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians
Eye Consultants of Syracuse, PCGroup PAC ID 5496787038, 6 clinicians

Practice addresses (Care Compare)

550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230

5792 Widewaters Pkwy
Suite 101
Syracuse, NY 13214-1847
Phone (315) 422-4412

806 W Broadway
Suite 3
Fulton, NY 13069-1528
Phone (315) 592-2444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
97.06
Improvement activities
40
Cost
48.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2274511NYMDOphthalmology Physician
227451NYMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Aug 12, 2005 Accepting new patients
Eye Consultants of Syracuse PC CurrentSince Jun 4, 2023 Accepting new patients
Cornea Consultants of Albany,PLLC Ophthalmology Past Accepting new patients
Cny Ophthalmology PLLC Ophthalmology Past Accepting new patients

Locations

806 W Broadway
Ste 3
Fulton, NY 13069
Phone (315) 592-2444

5792 Widewaters Pkwy
Ste 101
Syracuse, NY 13214
Phone (315) 385-7862

Interoperability endpoints

  • Direct secure messaging: drspitzer@eye-consultants.medentdirect.com
  • Direct secure messaging: sspitzer7320@direct.upstate.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1669456349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-422-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY STE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-422-4412",
            "fax_number": "315-422-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2274511",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NY",
            "license": "227451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02550585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.