Active NPI 1154311793 Individual Practitioner Male Practitioner

Dr. Seth A Biser , MD

Ophthalmology • Mount Vernon, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Biser, MD is a certified Ophthalmology practicing in Mount Vernon, NY. With approximately 29 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1997, Dr. Biser delivers high-quality medical care to the local community at 654 GRAMATAN AVE.

Dr. Biser accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient problem focused exam of visual system, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

654 Gramatan Ave

Mount Vernon, NY 105521604

Telephone 9146642300

Associated Practice Facility / Clinic

🏢 Seth A. Biser, M.d., P.c. Facility NPI 1265456800

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mount Vernon, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -2.9 yrs vs City Avg

City Avg: 31.9 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Mount Vernon, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Biser (29 Years) 29 Yrs

Mount Vernon Specialty Average (31.9 Years) 31.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	540	260	$110.00	$103.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	323	$175.00	$144.16
92012 Established patient problem focused exam of visual system	285	151	$125.00	$97.94
92083 Exam of visual field with extended testing	262	235	$135.00	$71.42
92020 Examination of cornea and iris using lens device and slit lamp	232	213	$45.00	$29.97
92133 Imaging of optic nerve	173	166	$160.00	$38.27
92250 Photography of the retina	155	148	$135.00	$41.25
92201 Extended exam of the back part of the eye with retinal drawing	149	137	$150.00	$27.58
92134 Imaging of retina	129	105	$160.00	$44.69
92202 Extended exam of the back part of the eye with optic nerve drawing	79	75	$95.00	$16.70
68761 Closure of tear duct opening using plug	64	50	$275.00	$165.07
76519 Ultrasound of eye for determination of lens power	59	45	$170.00	$58.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	46	$71.43	$65.05
92014 Established patient complete exam of visual system	48	47	$165.00	$133.76
66982 Complex removal of cataract with insertion of prosthetic lens	45	34	$3500.00	$824.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$200.00	$196.95
92285 Photography of content of eyes	37	35	$85.00	$26.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$192.18
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	11	$750.00	$311.44
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$600.00	$382.01
66984 Removal of cataract with insertion of lens	14	12	$3000.00	$610.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	630	310	$120.54	$103.67
92014 Established patient complete exam of visual system	280	269	$165.00	$143.90
92083 Exam of visual field with extended testing	246	222	$135.00	$72.41
92020 Examination of cornea and iris using lens device and slit lamp	235	222	$45.00	$30.82
92202 Extended exam of the back part of the eye with optic nerve drawing	190	185	$95.00	$17.35
92133 Imaging of optic nerve	179	178	$160.00	$39.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	94	$175.00	$148.38
92134 Imaging of retina	119	107	$160.00	$45.61
92201 Extended exam of the back part of the eye with retinal drawing	111	108	$150.00	$27.22
92250 Photography of the retina	90	90	$135.00	$41.31
92285 Photography of content of eyes	53	51	$85.00	$27.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	33	$200.00	$189.93
76519 Ultrasound of eye for determination of lens power	31	26	$170.00	$68.89
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$110.00	$105.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$250.00	$195.05
92004 New patient complete exam of visual system	24	24	$250.00	$172.27
66821 Removal of recurring cataract in lens capsule using a laser	17	16	$600.00	$391.16
66984 Removal of cataract with insertion of lens	15	13	$3000.00	$589.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	564	280	$115.00	$104.47
92014 Established patient complete exam of visual system	280	274	$165.00	$147.47
92201 Extended exam of the back part of the eye with retinal drawing	221	216	$150.00	$28.25
92020 Examination of cornea and iris using lens device and slit lamp	196	191	$45.00	$31.79
92083 Exam of visual field with extended testing	187	174	$135.00	$74.42
92133 Imaging of optic nerve	168	160	$160.00	$41.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	86	$175.00	$151.44
92202 Extended exam of the back part of the eye with optic nerve drawing	117	116	$95.00	$18.20
92134 Imaging of retina	88	78	$160.00	$47.31
99213 Established patient office or other outpatient visit, typically 15 minutes	82	61	$110.00	$109.11
92004 New patient complete exam of visual system	52	52	$250.00	$175.65
92285 Photography of content of eyes	49	45	$85.00	$28.77
92250 Photography of the retina	43	42	$135.00	$41.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$200.00	$197.87
76519 Ultrasound of eye for determination of lens power	21	18	$170.00	$69.75
66821 Removal of recurring cataract in lens capsule using a laser	20	18	$600.00	$393.51
65855 Laser repair to improve eye fluid flow	20	18	$700.00	$295.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$305.36	$266.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$71.43	$68.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$186.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	429	239	$115.00	$105.47
92014 Established patient complete exam of visual system	270	263	$165.00	$150.47
92020 Examination of cornea and iris using lens device and slit lamp	214	200	$45.00	$32.05
92083 Exam of visual field with extended testing	173	164	$135.00	$75.23
92201 Extended exam of the back part of the eye with retinal drawing	165	159	$150.00	$29.11
92202 Extended exam of the back part of the eye with optic nerve drawing	162	158	$95.00	$18.43
92250 Photography of the retina	99	98	$135.00	$44.38
92004 New patient complete exam of visual system	69	69	$250.00	$175.76
92133 Imaging of optic nerve	66	65	$160.00	$41.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$175.00	$150.07
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$110.00	$103.50
76514 Ultrasound scan of cornea to determine thickness	28	28	$25.00	$14.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$200.00	$193.13
76519 Ultrasound of eye for determination of lens power	24	20	$170.00	$67.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$71.43	$67.82
92134 Imaging of retina	23	23	$160.00	$48.34
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	11	$750.00	$367.51
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$600.00	$407.00
92285 Photography of content of eyes	15	14	$85.00	$29.32
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$3500.00	$893.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$300.00	$264.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	299	183	$115.00	$103.74
92201 Extended exam of the back part of the eye with retinal drawing	250	238	$150.00	$29.18
92014 Established patient complete exam of visual system	224	219	$165.00	$147.97
92020 Examination of cornea and iris using lens device and slit lamp	164	155	$45.00	$32.21
92083 Exam of visual field with extended testing	116	112	$135.00	$75.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	42	$71.43	$54.95
92004 New patient complete exam of visual system	48	48	$250.00	$175.83
92250 Photography of the retina	41	40	$135.00	$50.78
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$110.00	$86.83
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	16	$750.00	$343.94
76519 Ultrasound of eye for determination of lens power	19	17	$170.00	$70.36
76514 Ultrasound scan of cornea to determine thickness	13	13	$25.00	$14.67
65855 Laser repair to improve eye fluid flow	12	12	$700.00	$287.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	591	285	$115.00	$102.40
92014 Established patient complete exam of visual system	257	247	$165.00	$146.27
92226 Examination of eye by ophthalmoscope with retinal drawing	245	234	$79.18	$57.50
92083 Exam of visual field with extended testing	203	178	$135.00	$75.21
92020 Examination of cornea and iris using lens device and slit lamp	137	134	$45.00	$31.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	59	$71.43	$52.92
92133 Imaging of optic nerve	82	81	$160.00	$41.67
92225 Examination of eye by ophthalmoscope with retinal drawing	79	79	$89.43	$62.56
92004 New patient complete exam of visual system	66	66	$250.00	$174.18
76519 Ultrasound of eye for determination of lens power	43	35	$170.00	$63.17
92134 Imaging of retina	36	34	$160.00	$47.09
92250 Photography of the retina	35	35	$135.00	$57.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	25	$60.00	$26.64
66984 Removal of cataract with insertion of lens	24	19	$3000.00	$746.61
66982 Complex removal of cataract with insertion of prosthetic lens	17	16	$3500.00	$926.12
92002 New patient problem focused exam of visual system	15	15	$150.00	$97.48
76514 Ultrasound scan of cornea to determine thickness	11	11	$25.00	$14.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	580	277	$115.00	$100.96
92226 Examination of eye by ophthalmoscope with retinal drawing	279	259	$79.00	$56.35
92014 Established patient complete exam of visual system	277	261	$165.00	$145.54
92083 Exam of visual field with extended testing	254	228	$135.00	$74.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	126	$71.43	$51.54
92020 Examination of cornea and iris using lens device and slit lamp	171	166	$45.00	$30.23
92225 Examination of eye by ophthalmoscope with retinal drawing	81	80	$87.78	$59.78
92004 New patient complete exam of visual system	80	80	$250.00	$174.41
92133 Imaging of optic nerve	70	66	$160.00	$42.35
76519 Ultrasound of eye for determination of lens power	48	44	$170.00	$75.61
92250 Photography of the retina	46	46	$135.00	$63.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	33	$60.00	$25.37
66984 Removal of cataract with insertion of lens	28	24	$3000.00	$744.39
76514 Ultrasound scan of cornea to determine thickness	24	24	$25.00	$17.21
66982 Complex removal of cataract with insertion of prosthetic lens	21	18	$3500.00	$929.18
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$600.00	$386.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	492	255	$115.00	$95.54
92226 Examination of eye by ophthalmoscope with retinal drawing	286	273	$78.60	$53.52
92014 Established patient complete exam of visual system	266	255	$165.00	$138.17
92083 Exam of visual field with extended testing	228	199	$135.00	$71.86
92020 Examination of cornea and iris using lens device and slit lamp	171	167	$45.00	$29.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	98	$71.43	$49.31
92004 New patient complete exam of visual system	88	88	$250.00	$166.11
92225 Examination of eye by ophthalmoscope with retinal drawing	87	87	$90.00	$59.01
92133 Imaging of optic nerve	82	81	$160.00	$39.69
76519 Ultrasound of eye for determination of lens power	53	42	$170.00	$82.03
92250 Photography of the retina	41	41	$135.00	$74.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	33	$60.00	$22.80
76514 Ultrasound scan of cornea to determine thickness	21	21	$25.00	$16.96
66984 Removal of cataract with insertion of lens	21	17	$3000.00	$719.03
66982 Complex removal of cataract with insertion of prosthetic lens	19	16	$3500.00	$891.58
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	13	$750.00	$335.06
65855 Laser repair to improve eye fluid flow	16	15	$700.00	$275.60
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$600.00	$364.13

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 221874

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Elissa Debenedictis , DC

Chiropractor

NPI 1487749354

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2009

Registered at 654 GRAMATAN AVE, MOUNT VERNON, NY 105521604 (Tel: 9146642300)

📍

Updated Business Mailing Address June 05, 2009

Registered at 654 GRAMATAN AVE, MOUNT VERNON, NY 105521604 (Tel: 9146642734)

👤

Provider Name / Credentials Updated June 05, 2009

Recorded as SETH BISER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2009

Ophthalmology (License #221874 in NY)

🟢

Initial NPI Registration & Enumeration October 25, 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: 1154311793

Entity Type:

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

Enumeration Date: October 25, 2005

Last Update: June 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

654 Gramatan Ave

Mount Vernon, NY 105521604

Phone: 9146642734

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.