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Active NPI 1508868498 Individual Practitioner Female Practitioner

Dr. Stacey L Ackerman , MD

Ophthalmology • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Ackerman, MD is a registered healthcare professional specializing in Ophthalmology in Philadelphia, PA. Practice services are available at 1930 S BROAD ST UNIT 9 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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

1930 S Broad St Unit 9

Philadelphia, PA 191452328

Telephone 2153398100
Fax 2153398103
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
262 Specialists

Practicing in Philadelphia, PA (1152 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
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
11 11 $235.00 $116.74

Medical Specialties & State Licenses

CMS Verified: 2020-01-13
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD031968E

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA04606000

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
0903906 (PA)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1043203532

MDPHD

NPI 1093716532

Doctor of Medicine (M.D.)

NPI 1174525067

Doctor of Medicine (M.D.)

NPI 1184302556

Doctor of Optometry

NPI 1356343248

Doctor of Medicine (M.D.)

NPI 1447252333

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 13, 2020

Registered at 1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 191452328 (Tel: 2153398100)

📍
Updated Business Mailing Address January 13, 2020

Registered at 1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 191452328 (Tel: 2153398100)

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 1703 S BROAD ST, PHILADELPHIA, PA 191481536 (Tel: 2153398100)

📍
Updated Business Mailing Address March 10, 2017

Registered at 1703 S BROAD ST, PHILADELPHIA, PA 191481536 (Tel: 2153398100)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as STACEY ACKERMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Ophthalmology (License #25MA04606000 in NJ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1703 S BROAD ST, PHILADELPHIA, PA 191481536 (Tel: 2153398100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1703 S BROAD ST, PHILADELPHIA, PA 191481536 (Tel: 2153398100)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY ACKERMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MD031968E in PA)

🟢
Initial NPI Registration & Enumeration August 11, 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: 1508868498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: January 13, 2020
Sole Proprietor: No

Mailing Address

1930 S Broad St Unit 9

Philadelphia, PA 191452328

Phone: 2153398100

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.