Active NPI 1699770586 Individual Practitioner Male Practitioner

Dr. Edward M Baron , MD

Ophthalmology • Valley Stream, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Baron, MD is a certified Ophthalmology practicing in Valley Stream, NY. With approximately 43 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1983, Dr. Baron delivers high-quality medical care to the local community at 65 ROOSEVELT AVE.

Dr. Baron is affiliated with Sight Medical Doctors Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include exam of visual field with extended testing, imaging of optic nerve, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 Roosevelt Ave
Ste 204

Valley Stream, NY 115811106

Telephone 5163744199

Fax 5162955303

Associated Practice Facility / Clinic

🏢 Suffolk Ophthalmology Associates Pc Facility NPI 1407825367

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Valley Stream, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +11.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Valley Stream, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baron (43 Years) 43 Yrs

Valley Stream Specialty Average (31.3 Years) 31.3 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
92083 Exam of visual field with extended testing	641	488	$174.77	$71.11
92133 Imaging of optic nerve	600	466	$125.65	$37.08
92014 Established patient complete exam of visual system	360	341	$450.00	$138.84
99213 Established patient office or other outpatient visit, typically 15 minutes	272	204	$204.30	$102.89
92060 Exam to measure eye deviation and range of motion	238	190	$204.66	$66.22
92202 Extended exam of the back part of the eye with optic nerve drawing	125	125	$100.00	$16.93
92250 Photography of the retina	77	75	$152.27	$39.56
83861 Microfluid analysis of tears	72	36	$46.50	$21.42
92201 Extended exam of the back part of the eye with retinal drawing	71	71	$150.00	$27.51
92004 New patient complete exam of visual system	58	58	$274.14	$169.07
92012 Established patient problem focused exam of visual system	56	47	$182.77	$100.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$215.22	$145.74
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$67.50	$30.76
92134 Imaging of retina	11	11	$127.27	$42.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	583	439	$169.02	$72.27
92133 Imaging of optic nerve	550	426	$125.60	$38.33
92014 Established patient complete exam of visual system	248	223	$352.22	$144.10
99213 Established patient office or other outpatient visit, typically 15 minutes	239	185	$204.69	$106.31
92060 Exam to measure eye deviation and range of motion	139	122	$105.25	$65.25
92202 Extended exam of the back part of the eye with optic nerve drawing	113	112	$100.00	$17.77
83861 Microfluid analysis of tears	74	36	$46.50	$21.43
92004 New patient complete exam of visual system	71	71	$257.89	$172.16
92012 Established patient problem focused exam of visual system	65	58	$179.46	$96.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$205.36	$151.06
92250 Photography of the retina	50	50	$151.00	$41.36
92201 Extended exam of the back part of the eye with retinal drawing	43	43	$122.09	$26.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$313.04	$198.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	494	391	$157.00	$74.47
92133 Imaging of optic nerve	485	381	$125.00	$39.85
99213 Established patient office or other outpatient visit, typically 15 minutes	251	204	$195.22	$110.05
92014 Established patient complete exam of visual system	181	168	$200.00	$144.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	72	$206.49	$151.88
92201 Extended exam of the back part of the eye with retinal drawing	77	77	$100.00	$27.99
92060 Exam to measure eye deviation and range of motion	72	67	$82.36	$66.36
83861 Microfluid analysis of tears	53	28	$46.06	$21.82
92012 Established patient problem focused exam of visual system	50	48	$175.00	$103.74
92202 Extended exam of the back part of the eye with optic nerve drawing	40	40	$100.00	$18.45
92004 New patient complete exam of visual system	34	34	$250.00	$177.57
92250 Photography of the retina	26	25	$150.00	$41.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$304.12	$205.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$75.00	$69.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	433	333	$157.00	$75.35
92133 Imaging of optic nerve	398	307	$125.00	$40.28
92014 Established patient complete exam of visual system	176	158	$202.56	$149.20
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$155.38	$110.53
92202 Extended exam of the back part of the eye with optic nerve drawing	110	105	$100.45	$18.06
92060 Exam to measure eye deviation and range of motion	93	86	$81.56	$66.89
83861 Microfluid analysis of tears	82	40	$46.50	$21.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	71	$203.70	$155.56
92012 Established patient problem focused exam of visual system	70	56	$175.00	$106.29
92201 Extended exam of the back part of the eye with retinal drawing	61	61	$100.00	$28.67
92004 New patient complete exam of visual system	39	39	$250.00	$176.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$75.00	$68.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$300.00	$206.12
92134 Imaging of retina	25	24	$125.00	$46.50
92250 Photography of the retina	20	20	$150.00	$43.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	380	308	$157.00	$74.55
92133 Imaging of optic nerve	356	289	$125.00	$40.42
92014 Established patient complete exam of visual system	252	228	$201.57	$147.96
92012 Established patient problem focused exam of visual system	147	118	$175.00	$102.86
92202 Extended exam of the back part of the eye with optic nerve drawing	134	132	$100.00	$18.43
92060 Exam to measure eye deviation and range of motion	91	79	$80.90	$66.58
83861 Microfluid analysis of tears	64	31	$46.50	$22.44
92004 New patient complete exam of visual system	61	61	$250.00	$176.05
92201 Extended exam of the back part of the eye with retinal drawing	53	53	$100.00	$28.77
92134 Imaging of retina	20	20	$121.17	$46.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$200.00	$125.74
92250 Photography of the retina	13	11	$150.00	$52.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$81.25	$55.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	498	381	$153.89	$73.56
92133 Imaging of optic nerve	463	366	$121.57	$39.20
92014 Established patient complete exam of visual system	419	335	$216.24	$145.36
92226 Examination of eye by ophthalmoscope with retinal drawing	336	163	$104.75	$33.02
92225 Examination of eye by ophthalmoscope with retinal drawing	287	161	$112.86	$32.36
92012 Established patient problem focused exam of visual system	175	125	$174.95	$98.52
92060 Exam to measure eye deviation and range of motion	158	131	$106.71	$67.83
92004 New patient complete exam of visual system	88	88	$273.55	$168.06
92250 Photography of the retina	79	79	$164.76	$57.46
83861 Microfluid analysis of tears	45	23	$46.50	$22.03
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$62.32	$31.72
64612 Injection of chemical for paralysis of nerve muscles on side of face	20	11	$456.20	$190.78
92134 Imaging of retina	18	17	$125.00	$43.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,702	11	$6.97	$5.98
92083 Exam of visual field with extended testing	528	408	$155.33	$73.55
92133 Imaging of optic nerve	474	375	$109.13	$39.41
92014 Established patient complete exam of visual system	446	350	$238.61	$142.71
92226 Examination of eye by ophthalmoscope with retinal drawing	445	190	$65.19	$27.96
92225 Examination of eye by ophthalmoscope with retinal drawing	374	191	$99.27	$30.42
92060 Exam to measure eye deviation and range of motion	272	209	$127.07	$69.09
92012 Established patient problem focused exam of visual system	202	137	$185.61	$100.18
92250 Photography of the retina	177	173	$180.19	$64.91
92004 New patient complete exam of visual system	93	93	$307.61	$169.28
83861 Microfluid analysis of tears	40	19	$46.50	$22.03
92020 Examination of cornea and iris using lens device and slit lamp	40	40	$61.48	$30.23
64612 Injection of chemical for paralysis of nerve muscles on side of face	28	12	$331.68	$160.54
92134 Imaging of retina	19	19	$123.58	$45.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,587	13	$6.30	$5.85
92083 Exam of visual field with extended testing	478	378	$155.13	$72.79
92226 Examination of eye by ophthalmoscope with retinal drawing	437	193	$67.51	$27.78
92014 Established patient complete exam of visual system	384	311	$220.53	$139.99
92133 Imaging of optic nerve	383	318	$105.73	$39.08
92225 Examination of eye by ophthalmoscope with retinal drawing	356	192	$91.51	$29.89
92060 Exam to measure eye deviation and range of motion	278	212	$132.47	$68.87
92012 Established patient problem focused exam of visual system	214	142	$165.74	$97.08
92250 Photography of the retina	208	201	$150.11	$75.77
92004 New patient complete exam of visual system	104	104	$298.31	$162.20
83861 Microfluid analysis of tears	50	23	$46.50	$22.21
92020 Examination of cornea and iris using lens device and slit lamp	45	45	$61.56	$30.17
92134 Imaging of retina	38	37	$116.16	$43.24
64612 Injection of chemical for paralysis of nerve muscles on side of face	34	13	$328.47	$166.22
76514 Ultrasound scan of cornea to determine thickness	21	21	$73.00	$15.95
68810 Insertion of probe into nasal tear duct	14	13	$357.14	$226.99

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 162404

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

01128436 (NY)

Hospital & Practice Group Affiliations

Sight Medical Doctors Pllc

375 E Main St, Bay Shore, NY 117068418

Phone: 6316551330

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Gerard D'aversa , OD

Optometrist

NPI 1104319219

Doctor of Optometry

Dr. Michael Swerdin , MD

Ophthalmology

NPI 1295730273

Doctor of Medicine (M.D.)

Dr. Gerard D'aversa , MD

Ophthalmology

NPI 1548265523

Doctor of Medicine (M.D.)

Dr. Marta Mckeague , MD

Ophthalmology

NPI 1669815627

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 30, 2019

Registered at 375 E MAIN ST, STE 24, BAY SHORE, NY 117068418 (Tel: 5168728309)

✅

NPI Profile Active August 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2012

Registered at 65 ROOSEVELT AVE, STE 204, VALLEY STREAM, NY 115811106 (Tel: 5163744199)

📍

Updated Business Mailing Address August 17, 2012

Registered at 266 MERRICK RD, STE 110, LYNBROOK, NY 115632640 (Tel: 5168728309)

👤

Provider Name / Credentials Updated August 17, 2012

Recorded as EDWARD BARON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2012

Ophthalmology (License #162404 in NY)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1699770586

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: May 30, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

375 E Main St, Ste 24

Bay Shore, NY 117068418

Phone: 5168728309

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.