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Active NPI 1164465795 Individual Practitioner Male Practitioner

Dr. Michael Richard Josefowicz , OD

Optometrist • Kingston, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Josefowicz, OD is a certified Optometrist practicing in Kingston, PA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Josefowicz delivers high-quality medical care to the local community at 703 RUTTER AVE.

Dr. Josefowicz is affiliated with Vision Innovation Centers Of Pennsylvania Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 Rutter Ave

Kingston, PA 187044801

Telephone 5702887405
Fax 5702887406
Associated Practice Facility / Clinic
🏢 Eye Care Specialists, P.c. Facility NPI 1215997879

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kingston, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +3.2 yrs vs City Avg
City Avg: 27.8 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
25 Specialists

Practicing in Kingston, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Josefowicz (31 Years) 31 Yrs
Kingston Specialty Average (27.8 Years) 27.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
872 687 $301.00 $120.35
92134 Imaging of retina
264 207 $97.00 $37.45
99213 Established patient office or other outpatient visit, typically 15 minutes
251 214 $213.00 $85.33
92133 Imaging of optic nerve
164 115 $89.00 $31.32
92083 Exam of visual field with extended testing
157 117 $153.00 $58.03
68761 Closure of tear duct opening using plug
86 81 $694.88 $193.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
81 81 $388.00 $156.52
67820 Removal of eyelashes using forceps
43 36 $51.28 $17.51
92012 Established patient problem focused exam of visual system
25 25 $214.00 $82.62
92014 Established patient complete exam of visual system
19 19 $300.00 $117.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 13 $132.00 $52.67
92020 Examination of cornea and iris using lens device and slit lamp
13 13 $66.00 $25.65
65205 Removal of foreign body in external eye, conjunctiva
11 11 $69.00 $26.71

Medical Specialties & State Licenses

CMS Verified: 2026-03-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000229

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

Commercial Insurance / Payer ID Davis Vision
9866 (PA)
Commercial Insurance / Payer ID Nva
397325 (PA)
Commercial Insurance / Payer ID Blue Cross
JO896903 (PA)
Commercial Insurance / Payer ID Eyemed
938921 (PA)

Hospital & Practice Group Affiliations

Vision Innovation Centers Of Pennsylvania Llc

703 Rutter Ave, Kingston, PA 187044801

Phone: 5702887405

Practice Associates & Co-Workers

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

29 Associated Practitioners
NPI 1023077849

Doctor of Optometry

NPI 1033149331

Doctor of Optometry

NPI 1053413633

Doctor of Optometry

NPI 1063193407
NPI 1104886332

Doctor of Medicine (M.D.)

NPI 1245299064

Doctor of Optometry

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address March 22, 2026

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

👤
Provider Name / Credentials Updated March 22, 2026

Recorded as MICHAEL JOSEFOWICZ, OD

📍
Updated Practice Location September 03, 2020

Registered at 703 RUTTER AVE, KINGSTON, PA 187044801 (Tel: 4105718733)

📍
Updated Business Mailing Address September 03, 2020

Registered at 703 RUTTER AVE, KINGSTON, PA 187044801 (Tel: 5702887406)

NPI Profile Active July 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2011

Registered at 300 LACKAWANNA AVE, SUITE 118, SCRANTON, PA 185032012 (Tel: 5703423100)

📍
Updated Business Mailing Address July 14, 2011

Registered at 511 STONE HEDGE PL, MOUNTAIN TOP, PA 187072406 (Tel: 5706063681)

👤
Provider Name / Credentials Updated July 14, 2011

Recorded as MICHAEL JOSEFOWICZ, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2011

Optometrist (License #OEG000229 in PA)

🟢
Initial NPI Registration & Enumeration June 13, 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: 1164465795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: March 22, 2026
Sole Proprietor: No

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.