Active NPI
Geremie Palombaro, D.O.
- Ophthalmology Physician
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 303674-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06053070 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.1 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303674-01 | NY | MD | Ophthalmology Physician |
| OT013125 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Medical Doctors PLLC | Current | Accepting new patients | |
| Ophthalmic Associates of the | Ophthalmology | Current | Accepting new patients |
| Sight Medical Doctors PLLC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Hauppauge, NY
- NPI 1487077483
-
- Ophthalmology Physician
- Johnson City, NY
- NPI 1306893169
-
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
- NPI 1730040700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.