Active NPI 1821092800 Individual Practitioner Male Practitioner

Dr. Marc G Rubinstein , MD

Ophthalmology • Harrison, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Rubinstein, MD is a certified Ophthalmology practicing in Harrison, NY. With approximately 43 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1983, Dr. Rubinstein delivers high-quality medical care to the local community at 450 MAMARONECK AVE STE 401.

Dr. Rubinstein is affiliated with Sight Medical Doctors Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, examination of cornea and iris using lens device and slit lamp, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 Mamaroneck Ave Ste 401

Harrison, NY 105282400

Telephone 9149499200

Associated Practice Facility / Clinic

🏢 Westchester Eye Associates Facility NPI 1144253261

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Harrison, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +15.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Harrison, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rubinstein (43 Years) 43 Yrs

Harrison Specialty Average (27.5 Years) 27.5 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	548	421	$448.54	$141.32
92020 Examination of cornea and iris using lens device and slit lamp	280	213	$61.70	$30.51
99213 Established patient office or other outpatient visit, typically 15 minutes	215	162	$205.44	$103.50
92004 New patient complete exam of visual system	123	123	$256.83	$166.68
92133 Imaging of optic nerve	100	96	$125.45	$38.72
92083 Exam of visual field with extended testing	84	82	$179.60	$72.61
92012 Established patient problem focused exam of visual system	60	45	$187.08	$100.01
92134 Imaging of retina	57	56	$125.00	$45.65
92202 Extended exam of the back part of the eye with optic nerve drawing	52	52	$100.00	$16.78
92250 Photography of the retina	49	49	$151.02	$40.53
76514 Ultrasound scan of cornea to determine thickness	31	31	$101.61	$11.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92202 Extended exam of the back part of the eye with optic nerve drawing	557	483	$91.10	$17.49
92020 Examination of cornea and iris using lens device and slit lamp	494	385	$53.83	$31.36
92014 Established patient complete exam of visual system	493	361	$293.61	$143.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	364	248	$125.00	$121.73
99213 Established patient office or other outpatient visit, typically 15 minutes	174	134	$155.63	$102.33
92201 Extended exam of the back part of the eye with retinal drawing	125	125	$95.04	$27.99
92004 New patient complete exam of visual system	101	101	$234.65	$169.86
92133 Imaging of optic nerve	84	83	$134.70	$41.49
99306 Initial nursing facility visit, typically 45 minutes per day	79	79	$200.00	$196.83
92134 Imaging of retina	68	58	$134.93	$46.28
92083 Exam of visual field with extended testing	59	58	$147.32	$72.79
92012 Established patient problem focused exam of visual system	55	46	$159.18	$103.07
92250 Photography of the retina	43	40	$150.00	$42.24
76514 Ultrasound scan of cornea to determine thickness	28	28	$99.29	$12.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$206.76	$133.26
66821 Removal of recurring cataract in lens capsule using a laser	17	12	$948.35	$367.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92202 Extended exam of the back part of the eye with optic nerve drawing	797	543	$90.09	$18.08
92020 Examination of cornea and iris using lens device and slit lamp	542	399	$50.71	$32.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	461	272	$125.00	$105.40
92014 Established patient complete exam of visual system	420	275	$176.90	$147.37
92201 Extended exam of the back part of the eye with retinal drawing	195	193	$90.31	$28.58
99306 Initial nursing facility visit, typically 45 minutes per day	147	147	$200.00	$190.72
92012 Established patient problem focused exam of visual system	109	81	$127.75	$104.73
99213 Established patient office or other outpatient visit, typically 15 minutes	93	80	$153.23	$103.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	75	59	$90.00	$81.04
92133 Imaging of optic nerve	67	66	$143.66	$42.85
92004 New patient complete exam of visual system	61	61	$219.67	$174.15
92134 Imaging of retina	45	43	$142.22	$47.50
92083 Exam of visual field with extended testing	40	37	$120.60	$74.07
99336 Established patient assisted living visit, typically 40 minutes	30	24	$200.00	$154.65
99335 Established patient assisted living visit, typically 25 minutes	22	15	$150.00	$110.57
76514 Ultrasound scan of cornea to determine thickness	22	21	$68.18	$13.59
92020 Examination of cornea and iris using lens device and slit lamp	21	16	$50.00	$23.00
66821 Removal of recurring cataract in lens capsule using a laser	16	11	$960.75	$393.74
99318 Nursing facility annual assessment, typically 30 minutes	16	16	$125.00	$110.27
92250 Photography of the retina	16	16	$150.00	$42.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$136.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92202 Extended exam of the back part of the eye with optic nerve drawing	890	595	$90.00	$18.38
92020 Examination of cornea and iris using lens device and slit lamp	626	421	$50.00	$32.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	420	277	$125.00	$106.56
92014 Established patient complete exam of visual system	409	249	$175.00	$148.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	249	186	$90.00	$81.62
92201 Extended exam of the back part of the eye with retinal drawing	246	246	$90.00	$29.09
99306 Initial nursing facility visit, typically 45 minutes per day	139	139	$200.00	$193.70
92012 Established patient problem focused exam of visual system	124	82	$125.00	$106.01
92133 Imaging of optic nerve	59	55	$150.00	$43.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	48	$199.06	$150.59
92004 New patient complete exam of visual system	39	39	$200.00	$175.55
99318 Nursing facility annual assessment, typically 30 minutes	37	37	$125.00	$111.62
99335 Established patient assisted living visit, typically 25 minutes	32	23	$150.00	$111.47
92083 Exam of visual field with extended testing	29	29	$105.00	$75.25
92134 Imaging of retina	22	19	$150.00	$48.22
76514 Ultrasound scan of cornea to determine thickness	14	14	$30.00	$14.21
66984 Removal of cataract with insertion of lens	14	12	$810.71	$701.87
99326 New patient assisted living visit, typically 45 minutes	11	11	$200.00	$160.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92202 Extended exam of the back part of the eye with optic nerve drawing	517	390	$90.00	$18.30
92020 Examination of cornea and iris using lens device and slit lamp	414	333	$50.06	$31.94
92014 Established patient complete exam of visual system	332	215	$175.08	$146.11
92201 Extended exam of the back part of the eye with retinal drawing	244	244	$90.00	$29.22
99306 Initial nursing facility visit, typically 45 minutes per day	220	220	$200.00	$193.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	220	147	$125.11	$106.19
92012 Established patient problem focused exam of visual system	85	58	$125.00	$101.72
92133 Imaging of optic nerve	53	53	$150.00	$42.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	41	$90.00	$80.94
99318 Nursing facility annual assessment, typically 30 minutes	51	51	$125.00	$112.10
92083 Exam of visual field with extended testing	32	32	$105.00	$74.33
92004 New patient complete exam of visual system	24	24	$200.00	$173.66
99336 Established patient assisted living visit, typically 40 minutes	16	12	$200.00	$156.34
92134 Imaging of retina	14	13	$150.00	$47.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	644	493	$90.00	$57.81
92020 Examination of cornea and iris using lens device and slit lamp	481	367	$50.00	$31.31
92014 Established patient complete exam of visual system	472	271	$175.00	$144.00
92225 Examination of eye by ophthalmoscope with retinal drawing	246	246	$90.00	$62.44
99306 Initial nursing facility visit, typically 45 minutes per day	208	208	$200.00	$188.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	187	133	$90.00	$78.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	153	135	$125.00	$104.66
92012 Established patient problem focused exam of visual system	130	70	$125.00	$100.70
92133 Imaging of optic nerve	59	57	$150.00	$42.46
99318 Nursing facility annual assessment, typically 30 minutes	48	48	$125.00	$108.94
92250 Photography of the retina	43	39	$100.00	$58.33
92004 New patient complete exam of visual system	34	34	$200.00	$171.16
92083 Exam of visual field with extended testing	31	30	$105.00	$73.78
92134 Imaging of retina	20	18	$150.00	$46.81
66821 Removal of recurring cataract in lens capsule using a laser	17	14	$750.00	$376.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	647	481	$90.00	$55.15
92020 Examination of cornea and iris using lens device and slit lamp	531	398	$50.00	$29.62
92014 Established patient complete exam of visual system	473	277	$175.00	$140.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	377	246	$90.00	$77.24
99306 Initial nursing facility visit, typically 45 minutes per day	274	274	$200.00	$184.30
92225 Examination of eye by ophthalmoscope with retinal drawing	254	251	$90.00	$59.83
92012 Established patient problem focused exam of visual system	136	74	$125.00	$97.51
92133 Imaging of optic nerve	62	57	$150.00	$42.03
92250 Photography of the retina	55	53	$100.00	$64.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	42	$125.00	$102.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	34	$90.00	$78.01
92004 New patient complete exam of visual system	32	32	$200.00	$167.47
92083 Exam of visual field with extended testing	30	30	$105.00	$72.05
92226 Examination of eye by ophthalmoscope with retinal drawing	24	24	$90.00	$42.04
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$125.00	$106.91
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$50.00	$23.19
99335 Established patient assisted living visit, typically 25 minutes	15	12	$150.00	$105.07
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$200.00	$185.43
66984 Removal of cataract with insertion of lens	12	12	$1083.33	$627.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	489	342	$89.53	$54.33
92014 Established patient complete exam of visual system	395	252	$186.65	$139.85
92020 Examination of cornea and iris using lens device and slit lamp	316	221	$50.00	$30.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	204	129	$90.00	$79.11
92250 Photography of the retina	187	165	$100.00	$75.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	158	93	$91.14	$79.26
99306 Initial nursing facility visit, typically 45 minutes per day	148	147	$199.49	$188.27
92020 Examination of cornea and iris using lens device and slit lamp	137	115	$50.00	$23.74
92012 Established patient problem focused exam of visual system	131	78	$134.96	$96.79
92225 Examination of eye by ophthalmoscope with retinal drawing	131	129	$89.31	$59.94
99306 Initial nursing facility visit, typically 45 minutes per day	106	106	$195.75	$186.06
92225 Examination of eye by ophthalmoscope with retinal drawing	87	79	$90.00	$44.15
92226 Examination of eye by ophthalmoscope with retinal drawing	85	75	$90.00	$41.89
92133 Imaging of optic nerve	57	53	$152.63	$42.54
92083 Exam of visual field with extended testing	32	31	$104.84	$73.66
92004 New patient complete exam of visual system	24	24	$200.00	$167.68
99336 Established patient assisted living visit, typically 40 minutes	24	15	$200.00	$154.19
92134 Imaging of retina	24	20	$150.00	$46.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	14	$125.00	$104.48
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$750.00	$376.64
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$125.00	$110.28
76514 Ultrasound scan of cornea to determine thickness	11	11	$30.00	$17.23

Medical Specialties & State Licenses

CMS Verified: 2025-01-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 160826

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

01017298 (NY)

Hospital & Practice Group Affiliations

Sight Medical Doctors Pllc

450 Mamaroneck Ave, Harrison, NY 105282430

Phone: 8552954144

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Seth Potash , MD

Ophthalmology

NPI 1043252273

Doctor of Medicine (M.D.)

Dr. Annmary Abadir , OD

Optometrist

NPI 1497797914

Doctor of Optometry

Dr. Sana Ali , MD

Ophthalmology

NPI 1548689425

Doctor of Medicine (M.D.)

Dr. Neil Katz , MD

Ophthalmology

NPI 1669414892

Doctor of Medicine (M.D.)

Dr. Smitha Voleti , MD

Ophthalmology - Glaucoma Specialist

NPI 1811216856

Doctor of Medicine (M.D.)

Dr. Allen Greenbaum , MD

Ophthalmology

NPI 1891739728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 22, 2025

Registered at 450 MAMARONECK AVE STE 401, HARRISON, NY 105282400 (Tel: 9149499200)

📍

Updated Business Mailing Address January 22, 2025

Registered at 450 MAMARONECK AVE STE 401, HARRISON, NY 105282400 (Tel: 9149499200)

✅

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2013

Registered at 340 E 49TH ST, NEW YORK, NY 100171697 (Tel: 2127502666)

📍

Updated Business Mailing Address July 11, 2013

Registered at 340 E 49 STREET, NEW YORK, NY 10017 (Tel: 2127502666)

👤

Provider Name / Credentials Updated July 11, 2013

Recorded as MARC RUBINSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Ophthalmology (License #160826 in NY)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1821092800

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: January 22, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

450 Mamaroneck Ave Ste 401

Harrison, NY 105282400

Phone: 9149499200

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.