Active NPI 1649492554 Individual Practitioner Male Practitioner

Dr. Michael Herceg , DO

Ophthalmology • Binghamton, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Herceg, DO is a certified Ophthalmology practicing in Binghamton, NY. With approximately 23 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2003, Dr. Herceg delivers high-quality medical care to the local community at 33 MITCHELL AVE.

Dr. Herceg is affiliated with Binghamton Ophthalmology Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of optic nerve, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

33 Mitchell Ave
Suite 207

Binghamton, NY 139031674

Telephone 6077237586

Fax 6077231989

Associated Practice Facility / Clinic

🏢 Binghamton Ophthalmology Associates, P.c. Facility NPI 1245352996

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Binghamton, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -9.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Binghamton, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herceg (23 Years) 23 Yrs

Binghamton Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	791	788	$180.00	$119.47
92133 Imaging of optic nerve	394	365	$140.00	$34.40
92136 Measurement of corneal curvature and depth of eye	355	149	$213.00	$24.49
92250 Photography of the retina	250	239	$65.00	$32.46
92083 Exam of visual field with extended testing	225	220	$110.00	$60.10
66984 Removal of cataract with insertion of lens	216	124	$2638.00	$465.97
99213 Established patient office or other outpatient visit, typically 15 minutes	190	155	$98.55	$86.66
92134 Imaging of retina	185	177	$140.00	$37.74
92004 New patient complete exam of visual system	89	89	$215.00	$142.06
66821 Removal of recurring cataract in lens capsule using a laser	65	48	$1355.00	$312.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$195.00	$159.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$135.00	$122.16
65820 Incision to improve eye fluid flow	30	19	$1100.00	$774.38
76514 Ultrasound scan of cornea to determine thickness	20	20	$40.00	$10.05
92012 Established patient problem focused exam of visual system	16	16	$126.25	$83.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$60.00	$53.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	693	690	$180.00	$121.80
92133 Imaging of optic nerve	379	353	$140.00	$35.31
92136 Measurement of corneal curvature and depth of eye	327	145	$213.00	$24.46
92083 Exam of visual field with extended testing	252	241	$110.00	$59.86
99213 Established patient office or other outpatient visit, typically 15 minutes	249	180	$95.00	$85.53
92250 Photography of the retina	221	209	$65.00	$32.75
66984 Removal of cataract with insertion of lens	201	116	$2638.00	$472.82
92134 Imaging of retina	144	140	$140.00	$38.28
92004 New patient complete exam of visual system	127	127	$215.00	$144.26
66821 Removal of recurring cataract in lens capsule using a laser	72	62	$1364.44	$319.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	66	$135.00	$123.75
92012 Established patient problem focused exam of visual system	58	56	$125.00	$86.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	52	$30.00	$22.42
65820 Incision to improve eye fluid flow	18	12	$1100.00	$792.83
76514 Ultrasound scan of cornea to determine thickness	18	18	$40.00	$10.43
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$2650.00	$624.29
65855 Laser repair to improve eye fluid flow	14	11	$1336.07	$244.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	678	677	$180.00	$123.83
92133 Imaging of optic nerve	359	328	$140.00	$35.96
92136 Measurement of corneal curvature and depth of eye	350	152	$213.00	$26.20
66984 Removal of cataract with insertion of lens	235	90	$1651.65	$295.16
99213 Established patient office or other outpatient visit, typically 15 minutes	227	170	$95.00	$86.17
92083 Exam of visual field with extended testing	211	204	$110.00	$61.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	183	168	$30.00	$22.66
92134 Imaging of retina	134	128	$140.00	$39.36
92004 New patient complete exam of visual system	126	126	$215.00	$147.70
92012 Established patient problem focused exam of visual system	61	58	$125.00	$86.18
66821 Removal of recurring cataract in lens capsule using a laser	47	38	$1355.00	$321.76
83516 Analysis of substance using immunoassay technique	44	22	$25.00	$11.42
83861 Microfluid analysis of tears	36	18	$35.00	$22.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$135.00	$125.86
66174 Dilation of fluid outflow drainage within eye	25	15	$1900.00	$735.53
66982 Complex removal of cataract with insertion of prosthetic lens	23	17	$2650.00	$669.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$60.00	$50.59
65855 Laser repair to improve eye fluid flow	16	13	$1285.94	$248.23
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$41.00	$27.59
76514 Ultrasound scan of cornea to determine thickness	12	12	$40.00	$10.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	623	616	$177.33	$124.90
66984 Removal of cataract with insertion of lens	469	117	$1127.24	$204.03
92136 Measurement of corneal curvature and depth of eye	368	158	$213.00	$28.38
92133 Imaging of optic nerve	358	332	$140.00	$36.40
99213 Established patient office or other outpatient visit, typically 15 minutes	254	184	$92.76	$87.08
92083 Exam of visual field with extended testing	213	201	$110.00	$61.58
83861 Microfluid analysis of tears	196	97	$35.00	$22.48
92004 New patient complete exam of visual system	186	186	$213.49	$146.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	167	157	$30.00	$22.25
83516 Analysis of substance using immunoassay technique	152	75	$25.00	$11.53
92134 Imaging of retina	114	109	$140.00	$39.68
92012 Established patient problem focused exam of visual system	80	79	$122.75	$86.56
66821 Removal of recurring cataract in lens capsule using a laser	47	40	$1369.40	$314.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$58.44	$53.97
66982 Complex removal of cataract with insertion of prosthetic lens	33	12	$1447.50	$357.50
65855 Laser repair to improve eye fluid flow	29	19	$1354.48	$257.08
66174 Dilation of fluid outflow drainage within eye	28	18	$1900.00	$926.29
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$41.00	$27.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$131.52	$127.43
76514 Ultrasound scan of cornea to determine thickness	13	13	$40.00	$10.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	590	578	$165.14	$124.34
66984 Removal of cataract with insertion of lens	383	103	$1138.75	$209.93
92133 Imaging of optic nerve	326	307	$140.00	$36.58
92136 Measurement of corneal curvature and depth of eye	219	134	$213.00	$43.52
92083 Exam of visual field with extended testing	217	204	$110.00	$61.80
83516 Analysis of substance using immunoassay technique	192	96	$25.00	$11.34
83861 Microfluid analysis of tears	178	89	$35.00	$22.12
99213 Established patient office or other outpatient visit, typically 15 minutes	174	137	$80.00	$73.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	170	162	$30.00	$22.54
92004 New patient complete exam of visual system	132	132	$205.00	$149.17
92012 Established patient problem focused exam of visual system	111	102	$110.00	$87.64
92134 Imaging of retina	83	75	$140.00	$40.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	46	$55.00	$41.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$125.00	$107.06
66982 Complex removal of cataract with insertion of prosthetic lens	28	20	$2650.00	$656.81
66821 Removal of recurring cataract in lens capsule using a laser	26	21	$1355.00	$325.18
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$41.00	$26.59
65820 Incision to improve eye fluid flow	20	13	$1100.00	$778.68
65855 Laser repair to improve eye fluid flow	17	15	$1247.00	$267.64
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	14	$25.00	$14.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$180.00	$161.79
76514 Ultrasound scan of cornea to determine thickness	11	11	$40.00	$11.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	633	626	$154.03	$122.72
92133 Imaging of optic nerve	342	319	$139.59	$35.84
66984 Removal of cataract with insertion of lens	288	129	$2025.23	$453.39
92136 Measurement of corneal curvature and depth of eye	258	169	$213.00	$52.82
99213 Established patient office or other outpatient visit, typically 15 minutes	245	186	$72.24	$70.16
92083 Exam of visual field with extended testing	244	226	$110.00	$61.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	180	169	$26.53	$21.71
83516 Analysis of substance using immunoassay technique	178	86	$25.11	$12.41
83861 Microfluid analysis of tears	152	74	$34.87	$21.74
92004 New patient complete exam of visual system	132	132	$194.43	$146.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	68	$47.69	$43.73
92134 Imaging of retina	82	68	$140.00	$40.04
92012 Established patient problem focused exam of visual system	70	65	$100.79	$86.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	68	$110.59	$105.09
66982 Complex removal of cataract with insertion of prosthetic lens	64	23	$1492.38	$429.88
66821 Removal of recurring cataract in lens capsule using a laser	27	26	$1355.00	$315.04
76514 Ultrasound scan of cornea to determine thickness	23	23	$40.00	$11.47
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$41.00	$25.99
65820 Incision to improve eye fluid flow	21	15	$1100.00	$619.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$169.23	$159.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	622	615	$150.00	$121.41
92133 Imaging of optic nerve	383	346	$140.00	$36.14
66984 Removal of cataract with insertion of lens	321	150	$2072.00	$452.19
99213 Established patient office or other outpatient visit, typically 15 minutes	320	235	$70.00	$68.41
92136 Measurement of corneal curvature and depth of eye	275	180	$213.00	$54.97
92083 Exam of visual field with extended testing	223	210	$110.00	$61.11
92004 New patient complete exam of visual system	181	181	$190.00	$145.55
83516 Analysis of substance using immunoassay technique	150	71	$25.00	$13.96
83861 Microfluid analysis of tears	142	68	$35.00	$22.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	141	137	$25.00	$20.66
92134 Imaging of retina	98	76	$140.00	$40.20
92012 Established patient problem focused exam of visual system	87	81	$95.00	$84.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	78	$105.00	$100.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	62	$45.00	$41.50
66982 Complex removal of cataract with insertion of prosthetic lens	54	33	$2209.00	$635.19
66821 Removal of recurring cataract in lens capsule using a laser	33	25	$1396.06	$319.95
65855 Laser repair to improve eye fluid flow	32	27	$1363.91	$249.63
92020 Examination of cornea and iris using lens device and slit lamp	29	29	$41.00	$26.14
0474T Insertion of drainage device and creation of fluid reservoir in front chamber of eye	23	13	$1200.00	$371.49
76514 Ultrasound scan of cornea to determine thickness	23	23	$40.00	$13.92
66183 Insertion of eye fluid drainage device	16	14	$1500.00	$999.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$160.00	$139.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	625	621	$150.00	$118.63
99213 Established patient office or other outpatient visit, typically 15 minutes	370	247	$70.00	$68.48
66984 Removal of cataract with insertion of lens	314	103	$1337.96	$291.25
92133 Imaging of optic nerve	285	274	$140.00	$35.88
83861 Microfluid analysis of tears	210	102	$35.00	$21.58
92004 New patient complete exam of visual system	189	189	$190.00	$141.53
92083 Exam of visual field with extended testing	189	182	$110.16	$61.17
83516 Analysis of substance using immunoassay technique	189	93	$25.00	$15.07
92136 Measurement of corneal curvature and depth of eye	178	123	$213.00	$62.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	126	121	$25.00	$19.36
92012 Established patient problem focused exam of visual system	91	83	$95.00	$80.53
92134 Imaging of retina	81	68	$140.00	$39.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	63	$105.00	$102.11
65855 Laser repair to improve eye fluid flow	61	45	$1328.77	$243.01
92020 Examination of cornea and iris using lens device and slit lamp	46	45	$41.00	$26.05
66982 Complex removal of cataract with insertion of prosthetic lens	40	19	$1657.75	$465.02
66821 Removal of recurring cataract in lens capsule using a laser	40	31	$1456.63	$320.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$45.00	$41.68
76514 Ultrasound scan of cornea to determine thickness	17	17	$40.00	$12.83

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 247466-1

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License PA OS014046

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02992038 (NY)

Commercial Insurance / Payer ID Medicaid Group Id

02061489 (NY)

Commercial Insurance / Payer ID Medicare Group Provider

AA0477 (NY)

Hospital & Practice Group Affiliations

Binghamton Ophthalmology Associates Pc

33 Mitchell Ave, Binghamton, NY 139031642

Phone: 6077237586

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Paul Lesko , LICENSED OPTICIAN

Technician/Technologist - Optician

NPI 1275689036

LICENSEDOPTICIAN

Dr. John Meehan , MD

Ophthalmology

NPI 1487631420

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2016

Registered at 33 MITCHELL AVE, SUITE 207, BINGHAMTON, NY 139031674 (Tel: 6077237586)

📍

Updated Business Mailing Address June 29, 2016

Registered at 22 PINE MEADOW RD, VESTAL, NY 138503042 (Tel: 6072175372)

👤

Provider Name / Credentials Updated June 29, 2016

Recorded as MICHAEL HERCEG, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Ophthalmology (License #247466-1 in NY)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Herceg. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1649492554

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: June 29, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

22 Pine Meadow Rd

Vestal, NY 138503042

Phone: 6072175372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.