Active NPI 1720009525 Individual Practitioner Male Practitioner

Dr. James Maisel , MD

Ophthalmology • Hicksville, NY

Professional Overview & Biography Verified Profile Summary

Dr. James Maisel, MD is a certified Ophthalmology practicing in Hicksville, NY. With approximately 48 years of clinical experience since graduating from New York Medical College in 1978, Dr. Maisel delivers high-quality medical care to the local community at 400 SO OYSTER BAY RD.

Dr. Maisel is affiliated with James M. Maisel Md Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, avacincaptad pegol, 0.1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 So Oyster Bay Rd
Ste 305

Hicksville, NY 11801

Telephone 5169396100

Fax 5169392510

Associated Practice Facility / Clinic

🏢 James M. Maisel, M.d., P.l.l.c. Facility NPI 1215110150

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1978

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Hicksville, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +8.4 yrs vs City Avg

City Avg: 39.6 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Hicksville, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maisel (48 Years) 48 Yrs

Hicksville Specialty Average (39.6 Years) 39.6 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
J2777 Injection, faricimab-svoa, 0.1 mg	79,380	265	$52.51	$34.57
J2782 Injection, avacincaptad pegol, 0.1 mg	5,080	53	$149.41	$108.31
92134 Imaging of retina	2,656	890	$400.00	$43.71
92012 Established patient problem focused exam of visual system	2,524	651	$300.00	$101.20
67028 Injection of drug into eye	2,019	347	$500.00	$132.45
92083 Exam of visual field with extended testing	855	622	$300.00	$69.91
J0177 Injection, aflibercept hd, 1 mg	558	22	$424.96	$323.73
92235 Exam of retinal blood vessels using a special camera after injection of a dye	436	295	$300.00	$187.55
J2778 Injection, ranibizumab, 0.1 mg	410	18	$568.29	$161.33
J0178 Injection, aflibercept, 1 mg	330	42	$1100.00	$831.49
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	314	193	$500.00	$325.99
92014 Established patient complete exam of visual system	308	278	$400.00	$142.29
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	295	208	$250.00	$140.14
76512 Ultrasound of eye disease, growth, or structure	180	126	$600.00	$66.54
92250 Photography of the retina	153	86	$200.00	$41.24
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	133	12	$300.00	$202.30
J3490 Unclassified drugs	120	48	$3000.00	$2123.24
92004 New patient complete exam of visual system	104	104	$300.00	$167.03
92133 Imaging of optic nerve	98	72	$400.00	$38.47
92060 Exam to measure eye deviation and range of motion	80	55	$250.00	$68.43
J9035 Injection, bevacizumab, 10 mg	43	14	$300.00	$72.42
92002 New patient problem focused exam of visual system	39	39	$200.00	$96.25
J3590 Unclassified biologics	25	19	$3500.00	$2636.87
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	19	12	$2000.00	$384.13
92285 Photography of content of eyes	14	14	$200.00	$26.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	66,060	197	$52.00	$36.43
92134 Imaging of retina	2,984	1,011	$400.00	$44.57
92012 Established patient problem focused exam of visual system	2,660	690	$300.00	$104.56
67028 Injection of drug into eye	2,214	359	$500.00	$136.48
J0178 Injection, aflibercept, 1 mg	1,314	162	$1146.88	$871.22
92083 Exam of visual field with extended testing	1,040	717	$300.00	$69.80
J2778 Injection, ranibizumab, 0.1 mg	808	28	$582.18	$225.81
92235 Exam of retinal blood vessels using a special camera after injection of a dye	487	318	$300.00	$161.56
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	453	309	$250.00	$141.55
92014 Established patient complete exam of visual system	385	348	$400.00	$145.22
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	351	221	$500.00	$306.38
J3490 Unclassified drugs	287	59	$2565.85	$2188.62
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	231	17	$300.00	$198.59
76512 Ultrasound of eye disease, growth, or structure	223	164	$600.00	$66.92
92004 New patient complete exam of visual system	146	145	$300.00	$171.79
92250 Photography of the retina	110	86	$200.00	$42.36
92060 Exam to measure eye deviation and range of motion	77	53	$250.00	$69.17
92133 Imaging of optic nerve	49	43	$400.00	$40.39
92002 New patient problem focused exam of visual system	43	43	$200.00	$98.85
J9035 Injection, bevacizumab, 10 mg	34	14	$235.29	$70.99
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	31	13	$2000.00	$395.01
J3590 Unclassified biologics	21	17	$3500.00	$2735.11
92283 Extended color vision examination	18	18	$200.00	$59.42
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	16	16	$250.00	$104.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	15,974	110	$61.37	$37.45
92134 Imaging of retina	2,767	984	$400.00	$46.39
J0178 Injection, aflibercept, 1 mg	2,548	281	$1099.14	$899.48
67028 Injection of drug into eye	1,938	391	$500.00	$141.71
92012 Established patient problem focused exam of visual system	1,662	614	$300.00	$107.21
J2778 Injection, ranibizumab, 0.1 mg	1,146	58	$576.27	$279.03
92083 Exam of visual field with extended testing	772	577	$300.00	$72.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	764	447	$400.00	$153.41
92235 Exam of retinal blood vessels using a special camera after injection of a dye	498	334	$300.00	$149.95
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	437	268	$500.00	$309.98
92014 Established patient complete exam of visual system	326	296	$399.39	$150.79
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	266	17	$300.00	$197.80
76512 Ultrasound of eye disease, growth, or structure	224	152	$600.00	$66.63
J3590 Unclassified biologics	177	71	$2400.00	$2216.57
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	163	139	$250.00	$154.18
92004 New patient complete exam of visual system	87	87	$300.00	$177.32
92060 Exam to measure eye deviation and range of motion	77	51	$250.00	$70.56
92250 Photography of the retina	49	44	$200.00	$43.36
92133 Imaging of optic nerve	47	41	$400.00	$41.72
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	46	27	$2000.00	$409.87
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$300.00	$109.90
J9035 Injection, bevacizumab, 10 mg	43	18	$300.00	$68.46
92002 New patient problem focused exam of visual system	34	34	$200.00	$104.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$350.00	$204.54
92283 Extended color vision examination	18	17	$200.00	$60.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$200.00	$69.71
67145 Photocoagulation treatment to prevent detachment of retina	15	14	$2000.00	$294.87
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	14	13	$250.00	$105.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,282	784	$400.00	$48.32
J0178 Injection, aflibercept, 1 mg	1,280	274	$1100.00	$916.15
92012 Established patient problem focused exam of visual system	1,034	552	$300.00	$108.98
67028 Injection of drug into eye	841	372	$500.00	$143.40
J2778 Injection, ranibizumab, 0.1 mg	810	76	$581.48	$315.64
92014 Established patient complete exam of visual system	230	230	$400.00	$152.27
92235 Exam of retinal blood vessels using a special camera after injection of a dye	169	158	$300.00	$143.54
92083 Exam of visual field with extended testing	150	140	$300.00	$72.89
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	125	115	$500.00	$313.77
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	91	11	$300.00	$199.75
92004 New patient complete exam of visual system	88	88	$300.00	$180.34
76512 Ultrasound of eye disease, growth, or structure	72	59	$600.00	$64.31
J9035 Injection, bevacizumab, 10 mg	27	14	$300.00	$70.45
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	23	23	$250.00	$106.00
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	20	15	$2000.00	$417.43
92002 New patient problem focused exam of visual system	16	16	$200.00	$105.23
92133 Imaging of optic nerve	15	14	$400.00	$40.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	513	58	$784.80	$341.72
92134 Imaging of retina	391	305	$85.36	$46.07
92012 Established patient problem focused exam of visual system	346	242	$223.14	$104.28
J0178 Injection, aflibercept, 1 mg	346	109	$1850.00	$924.53
67028 Injection of drug into eye	280	172	$354.69	$122.87
92083 Exam of visual field with extended testing	118	118	$123.56	$68.76
92235 Exam of retinal blood vessels using a special camera after injection of a dye	68	68	$244.44	$122.91
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	67	67	$428.71	$286.24
92014 Established patient complete exam of visual system	51	51	$275.32	$148.72
76512 Ultrasound of eye disease, growth, or structure	33	30	$238.68	$81.46
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	21	21	$195.53	$101.37
92004 New patient complete exam of visual system	18	18	$279.41	$175.96
92133 Imaging of optic nerve	11	11	$89.27	$41.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	3,457	123	$786.31	$354.17
92134 Imaging of retina	2,215	802	$85.89	$46.29
92012 Established patient problem focused exam of visual system	1,920	528	$120.31	$103.53
J0178 Injection, aflibercept, 1 mg	1,606	173	$1850.00	$934.36
67028 Injection of drug into eye	1,562	292	$155.05	$120.41
92083 Exam of visual field with extended testing	552	392	$98.66	$73.12
92235 Exam of retinal blood vessels using a special camera after injection of a dye	393	279	$231.58	$107.96
92014 Established patient complete exam of visual system	367	335	$169.89	$147.98
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	314	207	$310.17	$277.27
76512 Ultrasound of eye disease, growth, or structure	208	157	$114.91	$74.63
92004 New patient complete exam of visual system	87	87	$243.21	$176.35
92060 Exam to measure eye deviation and range of motion	81	56	$92.89	$72.51
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	62	57	$118.88	$105.92
92133 Imaging of optic nerve	59	47	$80.13	$41.84
92250 Photography of the retina	55	49	$78.90	$57.38
92287 Imaging of front third of eye using a special camera after injection of a dye	42	33	$175.33	$175.11
J9035 Injection, bevacizumab, 10 mg	33	19	$209.09	$79.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$53.68	$53.61
92283 Extended color vision examination	23	22	$104.39	$58.43
92002 New patient problem focused exam of visual system	21	21	$175.89	$98.63
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	18	15	$495.96	$406.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$310.96	$193.64
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	11	$1577.47	$1173.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$127.42	$127.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	4,289	133	$786.99	$366.34
92134 Imaging of retina	2,084	729	$53.39	$46.08
92012 Established patient problem focused exam of visual system	1,649	451	$103.47	$98.23
67028 Injection of drug into eye	1,468	237	$130.57	$117.38
J0178 Injection, aflibercept, 1 mg	988	104	$1850.00	$938.04
92014 Established patient complete exam of visual system	370	330	$146.03	$142.13
92083 Exam of visual field with extended testing	347	270	$77.25	$72.75
92235 Exam of retinal blood vessels using a special camera after injection of a dye	329	227	$1000.00	$99.85
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	266	170	$278.68	$268.42
76512 Ultrasound of eye disease, growth, or structure	155	118	$122.07	$95.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	55	$54.28	$50.79
92004 New patient complete exam of visual system	103	103	$174.97	$171.22
92060 Exam to measure eye deviation and range of motion	78	57	$76.37	$72.36
92133 Imaging of optic nerve	51	45	$51.25	$41.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$125.98	$124.08
J9035 Injection, bevacizumab, 10 mg	33	12	$450.00	$76.88
92250 Photography of the retina	32	24	$78.93	$62.94
92275 Recording of retinal electrical responses to external stimuli	28	25	$177.08	$174.32
92287 Imaging of front third of eye using a special camera after injection of a dye	27	25	$164.82	$162.18
92283 Extended color vision examination	21	19	$68.15	$61.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$242.46	$182.24
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$1361.82	$1237.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	3,310	156	$788.82	$370.61
92134 Imaging of retina	2,216	817	$78.33	$45.59
92012 Established patient problem focused exam of visual system	1,889	562	$119.16	$97.55
J0178 Injection, aflibercept, 1 mg	1,650	158	$1850.00	$933.91
67028 Injection of drug into eye	1,598	312	$157.59	$116.31
92235 Exam of retinal blood vessels using a special camera after injection of a dye	380	268	$997.72	$99.20
92014 Established patient complete exam of visual system	358	328	$156.21	$142.46
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	282	194	$300.78	$268.37
92083 Exam of visual field with extended testing	228	198	$98.17	$71.96
76512 Ultrasound of eye disease, growth, or structure	138	101	$133.61	$106.36
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	133	11	$600.00	$197.57
92004 New patient complete exam of visual system	127	127	$179.71	$171.17
92060 Exam to measure eye deviation and range of motion	43	39	$84.45	$72.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$55.16	$51.08
J9035 Injection, bevacizumab, 10 mg	36	21	$401.39	$73.33
92250 Photography of the retina	35	32	$78.93	$74.95
92133 Imaging of optic nerve	32	30	$44.28	$41.77
92275 Recording of retinal electrical responses to external stimuli	31	27	$192.94	$174.31
92287 Imaging of front third of eye using a special camera after injection of a dye	30	24	$193.83	$162.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$140.08	$124.00
92283 Extended color vision examination	15	14	$68.15	$58.82
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	14	14	$1407.40	$1340.03

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 138708

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 FL ME0058247

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00783188310003 (NY)

Commercial Insurance / Payer ID Bcbs

00D161

Commercial Insurance / Payer ID Hip

58809P

Commercial Insurance / Payer ID Us Health

41409

Commercial Insurance / Payer ID Aetna

41409

Commercial Insurance / Payer ID Vytra Ppo

3598

Commercial Insurance / Payer ID Oxford

AS1211

Hospital & Practice Group Affiliations

James M. Maisel Md Pllc

400 S Oyster Bay Rd, Hicksville, NY 118013500

Phone: 5169396100

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Joanna Oda , MD

Ophthalmology

NPI 1780637256

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 April 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2013

Registered at 400 SO OYSTER BAY RD, STE 305, HICKSVILLE, NY 11801 (Tel: 5169396100)

📍

Updated Business Mailing Address April 24, 2013

Registered at 400 SO OYSTER BAY RD, STE 305, HICKSVILLE, NY 11801 (Tel: 5169396100)

👤

Provider Name / Credentials Updated April 24, 2013

Recorded as JAMES MAISEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2013

Ophthalmology (License #138708 in NY)

🟢

Initial NPI Registration & Enumeration July 21, 2006

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: 1720009525

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: April 24, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

400 So Oyster Bay Rd, Ste 305

Hicksville, NY 11801

Phone: 5169396100

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.