Individual provider Active NPI

Geremie Palombaro, D.O.

  • Ophthalmology Physician
  • Johnson City, NY
National Provider Identifier
1760611016
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
303674-01 Issued in NY
Practice address
530 Columbia Dr
Johnson City, NY 13790-3300
Phone
(607) 729-5016
Fax
(607) 729-3937
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 OT013125 PA
Ophthalmology Physician 207W00000X 303674-01 NY Primary

Addresses

Primary practice location

530 Columbia Dr
Johnson City, NY 13790-3300

Mailing address

530 Columbia Dr
Johnson City, NY 13790-3300
Phone (607) 729-5016

Other identifiers 1

IdentifierTypeStateIssuer
06053070MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140819002057 PA Practitioner - Ophthalmology 6709029978
I20200601003007 NY Practitioner - Ophthalmology 6709029978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

530 Columbia Dr
Johnson City, NY 13790-3300
Phone (855) 295-4144

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
93.1 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303674-01NYMDOphthalmology Physician
OT013125PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Dec 19, 2024 Accepting new patients
Ophthalmic Associates of the Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Dec 19, 2024 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

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

48 Harrison St
Johnson City, NY 13790
Phone (607) 729-5016

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1760611016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903300",
            "telephone_number": "607-729-5016",
            "fax_number": "607-729-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903300",
            "telephone_number": "607-729-5016",
            "fax_number": "607-729-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBARO",
        "first_name": "GEREMIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OT013125",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "303674-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06053070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.