Active NPI 1275510893 Individual Practitioner Male Practitioner

Dr. Michael E. Margulis , MD

Ophthalmology • Cedarhurst, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Margulis, MD is a certified Ophthalmology practicing in Cedarhurst, NY. With approximately 45 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1981, Dr. Margulis delivers high-quality medical care to the local community at 123 GROVE AVE.

Dr. Margulis is affiliated with Nassau Ophthalmology Assoc Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Grove Ave
Suite 214

Cedarhurst, NY 115162322

Telephone 5163746900

Fax 5163748632

Associated Practice Facility / Clinic

🏢 Long Island Cardiovascular Group Pc Facility NPI 1912912502

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cedarhurst, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +3.5 yrs vs City Avg

City Avg: 41.5 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Cedarhurst, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Margulis (45 Years) 45 Yrs

Cedarhurst Specialty Average (41.5 Years) 41.5 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	406	384	$200.37	$142.31
92012 Established patient problem focused exam of visual system	341	240	$145.01	$101.28
92004 New patient complete exam of visual system	330	330	$214.62	$167.64
92201 Extended exam of the back part of the eye with retinal drawing	319	305	$75.00	$27.67
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	305	305	$120.00	$89.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	261	194	$68.61	$44.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	255	215	$100.00	$83.22
92020 Examination of cornea and iris using lens device and slit lamp	102	101	$75.00	$30.78
92133 Imaging of optic nerve	88	86	$108.18	$41.43
92083 Exam of visual field with extended testing	67	66	$116.72	$72.86
92002 New patient problem focused exam of visual system	50	50	$142.70	$96.34
76514 Ultrasound scan of cornea to determine thickness	27	27	$100.00	$12.41
92202 Extended exam of the back part of the eye with optic nerve drawing	23	23	$50.00	$17.14
92250 Photography of the retina	21	21	$133.33	$42.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	415	388	$200.48	$145.72
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	363	363	$120.00	$92.12
92012 Established patient problem focused exam of visual system	279	208	$147.38	$103.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	244	216	$99.38	$85.29
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	214	161	$72.85	$45.13
92201 Extended exam of the back part of the eye with retinal drawing	122	120	$66.78	$28.16
92202 Extended exam of the back part of the eye with optic nerve drawing	104	103	$50.00	$17.61
92004 New patient complete exam of visual system	85	85	$214.41	$169.91
92133 Imaging of optic nerve	70	69	$107.43	$42.72
92083 Exam of visual field with extended testing	54	54	$109.63	$73.30
92020 Examination of cornea and iris using lens device and slit lamp	37	37	$56.62	$31.61
92002 New patient problem focused exam of visual system	33	33	$148.33	$98.95
92250 Photography of the retina	14	14	$132.14	$43.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	433	403	$206.00	$149.17
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	367	367	$120.00	$103.12
92202 Extended exam of the back part of the eye with optic nerve drawing	299	286	$50.00	$18.22
92012 Established patient problem focused exam of visual system	271	188	$154.94	$106.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	195	136	$74.79	$50.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	166	146	$99.54	$80.81
92004 New patient complete exam of visual system	95	95	$229.21	$175.21
92133 Imaging of optic nerve	63	62	$100.32	$43.79
92083 Exam of visual field with extended testing	59	58	$100.68	$75.13
92020 Examination of cornea and iris using lens device and slit lamp	30	30	$50.67	$32.76
92250 Photography of the retina	24	24	$126.04	$44.07
76514 Ultrasound scan of cornea to determine thickness	17	17	$50.00	$13.53
92002 New patient problem focused exam of visual system	13	13	$152.69	$102.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	524	469	$205.92	$149.95
92202 Extended exam of the back part of the eye with optic nerve drawing	379	346	$50.00	$18.45
92012 Established patient problem focused exam of visual system	330	230	$154.52	$107.76
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	200	134	$75.00	$51.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	188	150	$99.60	$81.73
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	124	124	$119.29	$104.68
92004 New patient complete exam of visual system	97	97	$228.61	$176.25
92133 Imaging of optic nerve	78	78	$100.77	$44.65
92083 Exam of visual field with extended testing	74	72	$100.00	$76.46
92020 Examination of cornea and iris using lens device and slit lamp	46	46	$50.43	$32.16
92002 New patient problem focused exam of visual system	18	18	$157.50	$103.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	13	$100.00	$82.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	425	399	$169.17	$147.50
92202 Extended exam of the back part of the eye with optic nerve drawing	333	316	$34.77	$18.22
92012 Established patient problem focused exam of visual system	273	209	$133.85	$103.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	97	93	$89.36	$81.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	91	75	$64.87	$51.68
92133 Imaging of optic nerve	77	76	$73.92	$44.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	72	71	$117.08	$106.20
92004 New patient complete exam of visual system	69	69	$210.47	$173.66
92083 Exam of visual field with extended testing	45	44	$90.82	$75.49
92020 Examination of cornea and iris using lens device and slit lamp	28	28	$37.91	$31.96
76519 Ultrasound of eye for determination of lens power	22	15	$52.37	$45.41
92002 New patient problem focused exam of visual system	20	20	$119.75	$96.71
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$89.29	$81.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	12	12	$67.95	$50.70
66984 Removal of cataract with insertion of lens	12	11	$766.77	$650.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	616	389	$34.67	$33.05
92014 Established patient complete exam of visual system	524	468	$148.87	$146.57
92012 Established patient problem focused exam of visual system	366	259	$104.06	$102.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	115	87	$51.87	$50.36
92020 Examination of cornea and iris using lens device and slit lamp	111	111	$32.11	$31.59
92225 Examination of eye by ophthalmoscope with retinal drawing	102	67	$36.61	$33.24
92004 New patient complete exam of visual system	95	95	$176.86	$172.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	93	92	$105.97	$103.15
92133 Imaging of optic nerve	90	88	$45.01	$43.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	68	59	$80.89	$79.12
92083 Exam of visual field with extended testing	67	66	$77.63	$75.27
76519 Ultrasound of eye for determination of lens power	37	20	$41.92	$36.94
76514 Ultrasound scan of cornea to determine thickness	24	24	$18.76	$14.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	22	22	$106.19	$104.68
92250 Photography of the retina	18	18	$60.42	$59.58
92002 New patient problem focused exam of visual system	16	16	$99.50	$97.28
66984 Removal of cataract with insertion of lens	15	13	$760.90	$748.42
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$105.97	$103.52
67820 Removal of eyelashes using forceps	13	11	$43.05	$40.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	740	406	$29.33	$27.91
92014 Established patient complete exam of visual system	588	525	$148.62	$141.98
92012 Established patient problem focused exam of visual system	375	266	$103.89	$98.56
92225 Examination of eye by ophthalmoscope with retinal drawing	103	63	$31.79	$29.82
92004 New patient complete exam of visual system	85	85	$176.98	$165.14
92020 Examination of cornea and iris using lens device and slit lamp	83	83	$31.49	$29.43
92133 Imaging of optic nerve	79	79	$46.64	$42.25
92083 Exam of visual field with extended testing	74	74	$78.39	$72.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	71	60	$51.87	$49.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	51	$80.27	$77.11
76519 Ultrasound of eye for determination of lens power	48	24	$49.61	$42.22
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	42	$105.97	$101.15
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	30	$51.87	$49.72
66984 Removal of cataract with insertion of lens	30	28	$760.90	$715.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	28	$106.19	$102.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	22	$80.36	$77.44
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$105.97	$101.59
92250 Photography of the retina	13	13	$68.59	$65.52
92002 New patient problem focused exam of visual system	12	12	$98.20	$93.88
67820 Removal of eyelashes using forceps	12	12	$48.68	$46.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	736	411	$28.99	$28.09
92014 Established patient complete exam of visual system	651	565	$144.97	$140.38
92012 Established patient problem focused exam of visual system	376	276	$100.21	$95.68
92020 Examination of cornea and iris using lens device and slit lamp	134	131	$32.75	$30.41
92004 New patient complete exam of visual system	93	93	$169.68	$166.42
92133 Imaging of optic nerve	76	74	$52.63	$43.20
92225 Examination of eye by ophthalmoscope with retinal drawing	74	50	$32.75	$30.57
92083 Exam of visual field with extended testing	73	73	$77.78	$75.45
76519 Ultrasound of eye for determination of lens power	46	23	$202.41	$46.64
92014 Established patient complete exam of visual system	32	31	$118.22	$90.73
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	25	$51.90	$51.05
66984 Removal of cataract with insertion of lens	29	26	$793.68	$744.94
92002 New patient problem focused exam of visual system	24	24	$95.29	$92.27
92250 Photography of the retina	23	23	$94.59	$77.70
92012 Established patient problem focused exam of visual system	21	21	$62.93	$60.01
92004 New patient complete exam of visual system	21	21	$114.41	$112.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	19	$106.19	$104.49
67820 Removal of eyelashes using forceps	15	12	$62.49	$57.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	14	$80.48	$79.19
92002 New patient problem focused exam of visual system	11	11	$54.91	$53.93
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$106.01	$104.31

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 162080

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00890102 (NY)

Hospital & Practice Group Affiliations

Nassau Ophthalmology Assoc Pc

123 Grove Ave, Cedarhurst, NY 115162302

Phone: 5163746900

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. David Kirsch , MD

Ophthalmology

NPI 1417934035

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 September 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2010

Registered at 123 GROVE AVE, SUITE 214, CEDARHURST, NY 115162322 (Tel: 5163746900)

📍

Updated Business Mailing Address September 08, 2010

Registered at 123 GROVE AVE, SUITE 214, CEDARHURST, NY 115162322 (Tel: 5163746900)

👤

Provider Name / Credentials Updated September 08, 2010

Recorded as MICHAEL MARGULIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

Ophthalmology (License #162080 in NY)

🟢

Initial NPI Registration & Enumeration December 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275510893

Entity Type:

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

Enumeration Date: December 23, 2005

Last Update: September 08, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

123 Grove Ave, Suite 214

Cedarhurst, NY 115162322

Phone: 5163746900

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.