NPPES file of Aug 9, 2026

Edward M. Baron, M.D.

Ophthalmology Physician · Valley Stream, NY

Edward M. Baron, M.D. is an ophthalmology physician with a practice address in Valley Stream, New York, and NPI 1699770586, issued on Jun 16, 2005. Check the license (New York 162404, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699770586
Name
Edward M. Baron
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
162404 NY
Self-reported in NPPES; status is on the state search
Practice location
65 Roosevelt Ave, Valley Stream, NY 11581
Phone
(516) 374-4199
Enumerated
Jun 16, 2005
Record last updated
May 30, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(516) 295-5303
Medicaid ID
01128436 NY
Medicare enrollment
Enrolled (PECOS I20050302001058); accepts Medicare assignment
Medical or professional school
State University Of New York Downstate Medical Center, 1983
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 65 Roosevelt Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Susanne Labarba, D.O.Allergy & Immunology Physician1083908453
  2. Mariella Scrudato, PA-CPhysician Assistant1407402126

Verify Edward M. Baron in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 162404
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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71% fewer Medicare Part D claims than the average ophthalmology physician in 2024

445 Medicare Part D claims for 142 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. Edward Baron445
  2. Specialty average1,518

Most prescribed

  1. Brimonidine Tartrate103 claims
  2. Latanoprost88 claims
  3. Dorzolamide Hcl26 claims
  4. Erythromycin21 claims
  5. Dorzolamide-Timolol20 claims
  6. Timolol Maleate20 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $472.52

19 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Edward Baron$472.52
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Sight Medical Doctors PLLCBay Shore, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edward M. Baron among 1,822 ophthalmology physician records in New York

Edward M. Baron, M.D. is one of 1,822 ophthalmology physician records with a practice address in New York. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 84% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1983 · median 1995 among the 1,215 with a school on file
  • Record last updated2019 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in New York

There are 1,822 ophthalmology physician records in New York.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Gerard D'Aversa, M.D.Valley Stream, NY 115811548265523
  2. Marta McKeague, M.D.Valley Stream, NY 115811669815627
  3. Michael Swerdin, M.D.Valley Stream, NY 115811295730273
  4. Lawrence Reichgut, MDSea Cliff, NY 115791760826689
  5. Stanley Berke, M.D.Westbury, NY 115901053315416
  6. Ronald Caronia, M.D.Oceanside, NY 115721720082118
  7. Marguerite McDonald, M.D.Oceanside, NY 115721356348452
  8. Alanna Nattis, D.O.Westbury, NY 115901558700542

Common questions

What is Edward M. Baron, M.D.'s NPI number?

Edward M. Baron, M.D.'s National Provider Identifier (NPI) is 1699770586, issued on Jun 16, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Edward M. Baron, M.D. located?

The NPPES record lists a practice address at 65 Roosevelt Ave, Valley Stream, NY, 11581. Phone: (516) 374-4199. Providers update this record themselves, so call before visiting.

How can I verify Edward M. Baron, M.D.'s license?

NPPES lists New York license number 162404, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Edward M. Baron, M.D. prescribe under Medicare Part D?

In 2024, Edward M. Baron, M.D. had 445 Medicare Part D claims for 142 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Edward M. Baron, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.