Active NPI 1588628911 Individual Practitioner Female Practitioner

Dr. Michelle Guevarra Pena , MD

Ophthalmology • Patchogue, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Guevarra Pena, MD is a certified Ophthalmology practicing in Patchogue, NY. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Guevarra Pena delivers high-quality medical care to the local community at 14A JAYNE AVENUE.

Dr. Guevarra Pena accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, pegcetacoplan, intravitreal, 1 mg, 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

14a Jayne Avenue

Patchogue, NY 11772

Telephone 6314750222

Fax 6314754586

Associated Practice Facility / Clinic

🏢 Michelle Guevarra Pena Pllc Facility NPI 1518923598

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Patchogue, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -6.5 yrs vs City Avg

City Avg: 36.5 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Patchogue, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guevarra Pena (30 Years) 30 Yrs

Patchogue Specialty Average (36.5 Years) 36.5 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
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	945	13	$240.81	$146.57
92012 Established patient problem focused exam of visual system	724	402	$121.91	$103.94
92083 Exam of visual field with extended testing	635	424	$135.91	$74.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	581	352	$131.18	$67.19
92133 Imaging of optic nerve	520	398	$100.51	$40.98
83861 Microfluid analysis of tears	473	201	$35.94	$22.03
99213 Established patient office or other outpatient visit, typically 15 minutes	418	295	$198.16	$104.68
83516 Analysis of substance using immunoassay technique	368	159	$37.45	$11.30
92250 Photography of the retina	325	279	$95.62	$41.26
65855 Laser repair to improve eye fluid flow	238	162	$533.14	$287.16
67028 Injection of drug into eye	163	33	$256.63	$132.33
92014 Established patient complete exam of visual system	146	117	$214.81	$145.97
J0178 Injection, aflibercept, 1 mg	90	12	$1343.77	$825.99
92134 Imaging of retina	82	66	$113.23	$46.82
92020 Examination of cornea and iris using lens device and slit lamp	79	72	$49.36	$31.68
76519 Ultrasound of eye for determination of lens power	50	36	$142.91	$61.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$291.75	$149.63
66984 Removal of cataract with insertion of lens	35	23	$1342.48	$425.79
92081 Exam of visual field with limited testing	26	26	$78.14	$39.67
92235 Exam of retinal blood vessels using a special camera after injection of a dye	25	22	$348.31	$193.41
65820 Incision to improve eye fluid flow	22	15	$1744.38	$928.00
92004 New patient complete exam of visual system	18	18	$190.39	$163.84
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	15	11	$592.32	$353.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,571	525	$120.00	$105.68
92083 Exam of visual field with extended testing	707	483	$125.00	$73.91
83861 Microfluid analysis of tears	532	221	$40.00	$22.03
83516 Analysis of substance using immunoassay technique	503	208	$30.00	$11.32
92133 Imaging of optic nerve	462	395	$120.00	$41.04
92250 Photography of the retina	394	364	$98.58	$42.46
92014 Established patient complete exam of visual system	168	127	$148.93	$145.66
92134 Imaging of retina	167	122	$120.00	$46.69
65855 Laser repair to improve eye fluid flow	151	94	$504.64	$287.94
J0178 Injection, aflibercept, 1 mg	138	22	$1223.19	$868.15
92020 Examination of cornea and iris using lens device and slit lamp	115	110	$35.74	$31.53
67028 Injection of drug into eye	114	39	$250.00	$133.40
99213 Established patient office or other outpatient visit, typically 15 minutes	106	70	$85.00	$84.65
76519 Ultrasound of eye for determination of lens power	63	39	$150.00	$59.09
92004 New patient complete exam of visual system	61	61	$160.00	$154.95
66984 Removal of cataract with insertion of lens	58	34	$1500.00	$422.36
65820 Incision to improve eye fluid flow	40	23	$1500.00	$975.23
92235 Exam of retinal blood vessels using a special camera after injection of a dye	38	38	$325.00	$163.98
J9035 Injection, bevacizumab, 10 mg	26	14	$248.08	$71.43
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	25	16	$500.00	$355.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	17	$110.00	$109.28
76514 Ultrasound scan of cornea to determine thickness	14	14	$26.07	$13.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,586	532	$120.00	$106.91
92083 Exam of visual field with extended testing	698	468	$124.79	$75.41
83861 Microfluid analysis of tears	537	222	$39.96	$22.19
92133 Imaging of optic nerve	510	414	$119.88	$42.24
83516 Analysis of substance using immunoassay technique	410	179	$30.00	$11.37
J0178 Injection, aflibercept, 1 mg	211	27	$1255.92	$903.38
92134 Imaging of retina	208	130	$120.00	$47.93
92014 Established patient complete exam of visual system	137	117	$148.39	$147.43
65855 Laser repair to improve eye fluid flow	133	88	$503.76	$294.87
67028 Injection of drug into eye	132	36	$250.00	$136.45
92020 Examination of cornea and iris using lens device and slit lamp	78	74	$35.00	$32.92
76519 Ultrasound of eye for determination of lens power	65	39	$129.23	$62.00
92004 New patient complete exam of visual system	59	59	$160.00	$159.87
92250 Photography of the retina	45	43	$130.00	$43.43
92235 Exam of retinal blood vessels using a special camera after injection of a dye	31	30	$264.52	$152.61
66984 Removal of cataract with insertion of lens	28	19	$1500.00	$568.07
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	26	19	$1711.54	$813.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,440	503	$119.97	$108.75
83861 Microfluid analysis of tears	626	258	$40.00	$22.48
92083 Exam of visual field with extended testing	553	393	$124.69	$76.81
92133 Imaging of optic nerve	438	375	$120.00	$43.16
83516 Analysis of substance using immunoassay technique	417	182	$30.05	$11.53
92134 Imaging of retina	212	128	$120.00	$49.12
92014 Established patient complete exam of visual system	170	134	$147.41	$147.64
J0178 Injection, aflibercept, 1 mg	151	17	$1256.62	$918.54
65855 Laser repair to improve eye fluid flow	143	92	$501.40	$302.81
67028 Injection of drug into eye	93	24	$250.00	$139.24
76519 Ultrasound of eye for determination of lens power	76	44	$130.26	$61.80
92004 New patient complete exam of visual system	70	70	$160.00	$161.65
66984 Removal of cataract with insertion of lens	55	34	$1500.00	$660.27
92020 Examination of cornea and iris using lens device and slit lamp	51	50	$35.00	$33.19
0191T Internal insertion of eye fluid drainage device	20	12	$500.00	$411.95
92235 Exam of retinal blood vessels using a special camera after injection of a dye	17	17	$214.71	$144.09
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	16	11	$500.00	$371.85
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$500.00	$411.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,245	462	$120.00	$105.49
92083 Exam of visual field with extended testing	541	397	$125.00	$76.33
92133 Imaging of optic nerve	450	367	$120.00	$42.60
83861 Microfluid analysis of tears	381	169	$40.00	$22.32
92014 Established patient complete exam of visual system	201	144	$146.77	$146.92
92134 Imaging of retina	179	113	$119.66	$48.50
83516 Analysis of substance using immunoassay technique	152	71	$29.87	$11.51
J0178 Injection, aflibercept, 1 mg	126	15	$1250.00	$930.31
67028 Injection of drug into eye	71	16	$250.00	$122.21
76519 Ultrasound of eye for determination of lens power	61	34	$119.67	$59.42
65855 Laser repair to improve eye fluid flow	48	39	$512.50	$300.66
92004 New patient complete exam of visual system	48	48	$160.00	$161.50
66984 Removal of cataract with insertion of lens	44	25	$1500.00	$593.48
92020 Examination of cornea and iris using lens device and slit lamp	29	29	$35.00	$32.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	20	19	$212.50	$119.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,597	523	$120.00	$103.46
83861 Microfluid analysis of tears	671	252	$40.00	$22.03
92083 Exam of visual field with extended testing	576	397	$125.00	$75.73
92133 Imaging of optic nerve	430	375	$119.90	$41.79
92014 Established patient complete exam of visual system	256	190	$147.03	$143.22
92134 Imaging of retina	218	148	$120.00	$47.83
J0178 Injection, aflibercept, 1 mg	150	17	$1233.33	$942.36
67028 Injection of drug into eye	91	19	$250.00	$120.15
76519 Ultrasound of eye for determination of lens power	62	35	$119.76	$56.02
92004 New patient complete exam of visual system	62	62	$160.00	$159.33
65855 Laser repair to improve eye fluid flow	58	45	$503.45	$292.76
66984 Removal of cataract with insertion of lens	55	32	$1500.00	$753.03
92020 Examination of cornea and iris using lens device and slit lamp	34	34	$35.00	$31.89
0191T Internal insertion of eye fluid drainage device	32	19	$500.00	$390.29
92235 Exam of retinal blood vessels using a special camera after injection of a dye	18	17	$200.00	$108.18
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$500.00	$395.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,618	527	$120.00	$101.77
83861 Microfluid analysis of tears	963	315	$40.00	$21.94
92133 Imaging of optic nerve	485	406	$119.88	$42.61
92083 Exam of visual field with extended testing	476	374	$125.00	$74.74
92134 Imaging of retina	289	168	$118.72	$47.77
92014 Established patient complete exam of visual system	262	201	$148.49	$143.69
J0178 Injection, aflibercept, 1 mg	128	23	$1205.08	$953.71
76519 Ultrasound of eye for determination of lens power	91	55	$120.33	$62.60
92004 New patient complete exam of visual system	85	85	$160.00	$157.93
67028 Injection of drug into eye	85	31	$250.00	$119.19
66984 Removal of cataract with insertion of lens	65	39	$1500.00	$727.52
92020 Examination of cornea and iris using lens device and slit lamp	54	53	$35.00	$30.64
65855 Laser repair to improve eye fluid flow	50	41	$502.00	$288.85
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	32	19	$500.00	$351.99
92235 Exam of retinal blood vessels using a special camera after injection of a dye	26	26	$194.04	$97.46
0191T Internal insertion of eye fluid drainage device	24	16	$500.00	$385.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,460	495	$120.00	$95.83
83861 Microfluid analysis of tears	1,083	341	$39.98	$22.17
92083 Exam of visual field with extended testing	456	372	$124.58	$72.59
92133 Imaging of optic nerve	420	389	$119.21	$40.60
92014 Established patient complete exam of visual system	371	286	$147.63	$136.06
92134 Imaging of retina	175	124	$119.60	$45.72
J0178 Injection, aflibercept, 1 mg	124	14	$1217.74	$962.78
76519 Ultrasound of eye for determination of lens power	77	48	$123.70	$72.22
92004 New patient complete exam of visual system	74	74	$160.00	$157.84
67028 Injection of drug into eye	71	18	$250.00	$115.23
66984 Removal of cataract with insertion of lens	69	43	$1500.00	$704.67
92020 Examination of cornea and iris using lens device and slit lamp	56	55	$35.00	$29.73
92235 Exam of retinal blood vessels using a special camera after injection of a dye	46	43	$273.37	$96.57
65855 Laser repair to improve eye fluid flow	30	23	$506.67	$276.85
0191T Internal insertion of eye fluid drainage device	27	17	$659.26	$488.09
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	11	$500.00	$336.67
66982 Complex removal of cataract with insertion of prosthetic lens	17	14	$1970.59	$896.45
92132 Imaging of front third of eye	13	12	$50.00	$34.68
76514 Ultrasound scan of cornea to determine thickness	12	11	$25.00	$16.09

Medical Specialties & State Licenses

CMS Verified: 2020-12-30

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 2095111

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

02315391 (NY)

Commercial Insurance / Payer ID Aetna Us Healthcare Ppo

7121410

Commercial Insurance / Payer ID Rr Retirement Medicare

180045562

Commercial Insurance / Payer ID Healtnet

3C3882

Commercial Insurance / Payer ID Ghi Hmo

000000082260

Commercial Insurance / Payer ID Ghi Ppo

0498205

Commercial Insurance / Payer ID Multiplan

113660574

Commercial Insurance / Payer ID First Health

2087772

Commercial Insurance / Payer ID Aetna Us Healthcare Hmo

3080739

Commercial Insurance / Payer ID Empire Blue Cross Blue Sh

430A71

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Daniel Fischman , OD

Optometrist

NPI 1316019391

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated May 05, 2020

Recorded as MICHELLE GUEVARRA PENA, MD

✅

NPI Profile Active August 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2013

Registered at 14A JAYNE AVENUE, PATCHOGUE, NY 11772 (Tel: 6314750222)

📍

Updated Business Mailing Address August 29, 2013

Registered at 14A JAYNE AVENUE, PATCHOGUE, NY 11772 (Tel: 6314750222)

👤

Provider Name / Credentials Updated August 29, 2013

Recorded as MICHELLE GUEVARRA-PENA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2013

Ophthalmology (License #2095111 in NY)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michelle Guevarra Pena. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588628911

Entity Type:

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

Enumeration Date: April 13, 2006

Last Update: December 30, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

14a Jayne Avenue

Patchogue, NY 11772

Phone: 6314750222

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.