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Deactivated NPI 1750387973 Deactivated / Inactive NPI Male Practitioner

Dr. Robert S Greenbaum , OD

Optometrist • Lagrangeville, NY

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Greenbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date January 14, 2006
Total Practice Duration ~22 Years of Practice (1984 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Greenbaum, OD was a registered Optometrist in Lagrangeville, NY. Prior to record deactivation on 2006-01-14, Dr. Greenbaum completed approximately 22 years of clinical practice following graduation from State University Of New York - State College Optometry in 1984.

Dr. Greenbaum was affiliated with 200 West Optics Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, established patient complete exam of visual system, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1110 Route 55 Ste 105

Lagrangeville, NY 125405048

Telephone 8454730220
Fax 8454730140
Associated Practice Facility / Clinic
🏢 Robert S Greenbaum Od Pllc Facility NPI 1144208208

Medicare Profile & Education

Medical School

State University Of New York - State College Optometry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lagrangeville, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +4.5 yrs vs City Avg
City Avg: 37.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Lagrangeville, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Greenbaum (42 Years) 42 Yrs
Lagrangeville Specialty Average (37.5 Years) 37.5 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
92012 Established patient problem focused exam of visual system
175 107 $114.97 $95.05
92014 Established patient complete exam of visual system
135 130 $154.85 $133.95
92250 Photography of the retina
72 69 $109.72 $39.19
92134 Imaging of retina
69 63 $80.00 $42.70
92133 Imaging of optic nerve
53 50 $80.00 $38.49
92083 Exam of visual field with extended testing
30 30 $109.67 $67.91
92004 New patient complete exam of visual system
24 24 $185.00 $158.26
92020 Examination of cornea and iris using lens device and slit lamp
17 16 $45.00 $29.03

Medical Specialties & State Licenses

CMS Verified: 2024-12-13
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY 004414

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02144998 (NY)
Commercial Insurance / Payer ID Mvp Health Plan
597014 (NY)
Commercial Insurance / Payer ID Aetna
0007187044 (NY)
Commercial Insurance / Payer ID Cdphp
10032470 (NY)
Commercial Insurance / Payer ID Oxford Health Insurance
P2790040

Hospital & Practice Group Affiliations

200 West Optics Llc

1110 State Route 55, Lagrangeville, NY 125405048

Phone: 8454730220

200 West Optics Llc

1765 Central Park Ave, Yonkers, NY 107102828

Phone: 9149611004

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 13, 2024

Registered at 1110 ROUTE 55 STE 105, LAGRANGEVILLE, NY 125405048 (Tel: 8454730220)

📍
Updated Business Mailing Address December 13, 2024

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2024

Optometrist (License #004414 in NY)

📍
Updated Practice Location November 05, 2008

Registered at 1110 ROUTE 55, LAGRANGEVILLE, NY 125405045 (Tel: 8454730220)

📍
Updated Business Mailing Address November 05, 2008

Registered at 1110 ROUTE 55, LAGRANGEVILLE, NY 125405045 (Tel: 8454730220)

👤
Provider Name / Credentials Updated November 05, 2008

Recorded as ROBERT GREENBAUM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2008

Optometrist (License #VUT4414 in NY)

🔄
NPI Profile Reactivated October 10, 2007

Record officially reactivated for active practice on October 10, 2007

⚠️
NPI Profile Deactivated January 14, 2006

Record deactivated on January 14, 2006

🟢
Initial NPI Registration & Enumeration June 22, 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: 1750387973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: December 13, 2024
Deactivation Date: January 14, 2006
Sole Proprietor: No

Mailing Address

8614 Westwood Center Dr Fl 9

Vienna, VA 221822442

Phone: 7038478899

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.