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Active NPI 1225008089 Individual Practitioner Male Practitioner

Dr. Samuel P Pollak , OD

Optometrist • Monsey, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Pollak, OD is a certified Optometrist practicing in Monsey, NY. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Pollak delivers high-quality medical care to the local community at 22 LYNCREST DR.

Dr. Pollak is affiliated with Liebergall Eye Associates, M.D.,P.C. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

22 Lyncrest Dr

Monsey, NY 109521630

Telephone 8454250043
Fax 8453546335

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Monsey, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
47 Yrs +10.3 yrs vs City Avg
City Avg: 36.7 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Monsey, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pollak (47 Years) 47 Yrs
Monsey Specialty Average (36.7 Years) 36.7 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
329 158 $143.36 $101.34
92014 Established patient complete exam of visual system
175 160 $199.74 $142.54
92250 Photography of the retina
53 50 $125.00 $42.22
92004 New patient complete exam of visual system
52 52 $206.73 $168.05
92133 Imaging of optic nerve
25 20 $125.00 $39.61
92083 Exam of visual field with extended testing
25 20 $175.00 $72.83
92134 Imaging of retina
13 12 $125.00 $46.05

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY T003781

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
00403030 (NY)

Hospital & Practice Group Affiliations

Liebergall Eye Associates, M.d.,p.c.

222 Route 59, Suffern, NY 109015206

Phone: 8453572500

Liebergall Eye Associates, M.d.,p.c.

222 Route 59 207, Suffern, NY 109015206

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1336229350

Doctor of Medicine (M.D.)

NPI 1578524393

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 October 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2015

Registered at 22 LYNCREST DR, MONSEY, NY 109521630 (Tel: 8454250043)

📍
Updated Business Mailing Address October 19, 2015

Registered at 22 LYNCREST DR, MONSEY, NY 109521630 (Tel: 8454250043)

👤
Provider Name / Credentials Updated October 19, 2015

Recorded as SAMUEL POLLAK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Optometrist (License #T003781 in NY)

🟢
Initial NPI Registration & Enumeration January 25, 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: 1225008089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2006
Last Update: October 19, 2015
Sole Proprietor: Yes

Mailing Address

22 Lyncrest Dr

Monsey, NY 109521630

Phone: 8454250043

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.