Active NPI 1598712846 Individual Practitioner Male Practitioner

Dr. Gary Michael Pisanchyn , OD

Optometrist • Clarks Summit, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Pisanchyn, OD is a certified Optometrist practicing in Clarks Summit, PA. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Pisanchyn delivers high-quality medical care to the local community at 503 S STATE ST.

Dr. Pisanchyn maintains professional affiliations with Vision Innovation Centers Of Pennsylvania Llc, Sight Medical Doctors Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

503 S State St

Clarks Summit, PA 184111557

Telephone 5705875186

Associated Practice Facility / Clinic

🏢 Optical Nei Inc Facility NPI 1366558686

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clarks Summit, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +10.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Clarks Summit, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pisanchyn (42 Years) 42 Yrs

Clarks Summit Specialty Average (32.0 Years) 32.0 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
92014 Established patient complete exam of visual system	347	347	$195.00	$118.35
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$170.00	$86.30
92083 Exam of visual field with extended testing	37	37	$185.00	$59.69
92134 Imaging of retina	34	34	$120.00	$36.24
92133 Imaging of optic nerve	30	30	$120.00	$31.96
92004 New patient complete exam of visual system	16	16	$215.00	$141.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	484	482	$195.00	$122.41
99213 Established patient office or other outpatient visit, typically 15 minutes	144	110	$170.00	$86.68
92083 Exam of visual field with extended testing	78	76	$185.00	$60.81
92133 Imaging of optic nerve	75	73	$120.00	$33.22
92004 New patient complete exam of visual system	45	45	$215.00	$140.92
92134 Imaging of retina	41	41	$120.00	$37.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$150.00	$55.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	534	529	$195.00	$122.72
99213 Established patient office or other outpatient visit, typically 15 minutes	275	212	$150.00	$88.00
92133 Imaging of optic nerve	98	98	$120.00	$33.50
92083 Exam of visual field with extended testing	93	92	$185.00	$60.83
92004 New patient complete exam of visual system	69	69	$215.00	$146.65
92134 Imaging of retina	57	56	$120.00	$38.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	45	$120.00	$54.50
65778 Insertion of amniotic membrane to eye surface	24	14	$3400.00	$1287.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	12	$50.00	$22.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	582	579	$195.00	$123.97
99213 Established patient office or other outpatient visit, typically 15 minutes	158	130	$150.00	$89.20
92012 Established patient problem focused exam of visual system	154	135	$130.00	$87.69
92133 Imaging of optic nerve	113	112	$120.00	$33.94
92083 Exam of visual field with extended testing	100	100	$185.00	$61.54
92004 New patient complete exam of visual system	99	99	$215.00	$146.86
92134 Imaging of retina	59	56	$120.00	$39.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$120.00	$55.06
65778 Insertion of amniotic membrane to eye surface	43	25	$3400.00	$1428.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	20	$50.00	$22.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	556	551	$195.60	$124.61
92012 Established patient problem focused exam of visual system	279	234	$131.76	$87.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	91	$102.85	$44.25
92004 New patient complete exam of visual system	75	75	$219.48	$149.35
92133 Imaging of optic nerve	57	57	$112.28	$34.43
92083 Exam of visual field with extended testing	55	55	$152.20	$62.18
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$144.29	$73.98
92134 Imaging of retina	31	30	$118.71	$40.45
65778 Insertion of amniotic membrane to eye surface	30	18	$3400.00	$1381.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	599	593	$198.00	$123.30
99213 Established patient office or other outpatient visit, typically 15 minutes	312	248	$124.00	$71.72
92012 Established patient problem focused exam of visual system	240	209	$137.00	$85.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	201	146	$74.00	$43.35
92133 Imaging of optic nerve	121	117	$201.86	$33.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	112	$183.00	$104.55
92083 Exam of visual field with extended testing	113	111	$111.50	$62.05
65778 Insertion of amniotic membrane to eye surface	84	60	$3400.00	$1368.64
92004 New patient complete exam of visual system	62	62	$239.00	$144.01
92134 Imaging of retina	58	55	$200.00	$39.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$279.00	$159.87
92002 New patient problem focused exam of visual system	15	15	$130.00	$82.10
92250 Photography of the retina	14	14	$195.00	$47.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$182.00	$104.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	462	432	$170.49	$102.72
99213 Established patient office or other outpatient visit, typically 15 minutes	454	358	$116.35	$70.00
92014 Established patient complete exam of visual system	246	244	$184.62	$122.39
92133 Imaging of optic nerve	149	133	$245.00	$34.77
92012 Established patient problem focused exam of visual system	138	121	$122.73	$84.79
92083 Exam of visual field with extended testing	122	117	$115.00	$61.94
92134 Imaging of retina	75	72	$245.00	$40.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	60	$72.96	$42.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$253.67	$158.70
65778 Insertion of amniotic membrane to eye surface	46	36	$3400.00	$1354.36
92250 Photography of the retina	43	43	$195.00	$52.75
83516 Analysis of substance using immunoassay technique	40	20	$45.00	$13.96
92004 New patient complete exam of visual system	26	26	$215.82	$146.99
92285 Photography of content of eyes	24	24	$50.00	$19.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$182.41	$103.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	788	746	$135.00	$118.31
92012 Established patient problem focused exam of visual system	450	346	$95.00	$81.62
92083 Exam of visual field with extended testing	124	108	$114.60	$60.06
92133 Imaging of optic nerve	122	102	$244.02	$33.51
92004 New patient complete exam of visual system	84	84	$158.00	$143.63
92134 Imaging of retina	68	62	$241.47	$38.74
92250 Photography of the retina	57	57	$193.33	$61.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$65.00	$41.73
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$90.00	$67.11

Medical Specialties & State Licenses

CMS Verified: 2026-03-25

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY 004514-1

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License PA OEG003475

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00974465 (NY)

Hospital & Practice Group Affiliations

Sight Medical Doctors Pllc

260 E Middle Country Rd, Smithtown, NY 117872925

Phone: 6312658780

Sight Medical Doctors Pllc

530 Columbia Dr, Johnson City, NY 137903300

Phone: 8552954144

Vision Innovation Centers Of Pennsylvania Llc

200 Mifflin Ave, Scranton, PA 185031982

Phone: 8552046888

Secondary Practice Locations

200 Mifflin Ave

Scranton, PA 185031982

Phone: 5703423145

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Stanley Boland , MD

Ophthalmology

NPI 1215049069

Doctor of Medicine (M.D.)

Dr. Mary Frattali , MD

Ophthalmology

NPI 1447362272

Doctor of Medicine (M.D.)

Dr. Michael Boland , OD

Optometrist

NPI 1962414078

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 25, 2026

Registered at 503 S STATE ST, CLARKS SUMMIT, PA 184111557 (Tel: 5705875186)

📍

Updated Business Mailing Address March 25, 2026

Registered at 2661 RIVA RD STE 1030, ANNAPOLIS, MD 214017131 (Tel: 6673545528)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2026

Optometrist (License #OEG003475 in PA)

📍

Updated Practice Location November 06, 2023

Registered at 530 COLUMBIA DR, JOHNSON CITY, NY 137903300 (Tel: 6077295016)

📍

Updated Business Mailing Address November 06, 2023

Registered at 530 COLUMBIA DR, JOHNSON CITY, NY 137903300 (Tel: 6077295016)

✅

NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2011

Registered at 48 HARRISON ST, JOHNSON CITY, NY 13790 (Tel: 6077295016)

📍

Updated Business Mailing Address September 13, 2011

Registered at 48 HARRISON ST, JOHNSON CITY, NY 13790 (Tel: 6077295016)

👤

Provider Name / Credentials Updated September 13, 2011

Recorded as GARY PISANCHYN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

Optometrist (License #004514-1 in NY)

🟢

Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598712846

Entity Type:

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

Enumeration Date: May 30, 2006

Last Update: March 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2661 Riva Rd Ste 1030

Annapolis, MD 214017131

Phone: 6673545528

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.