Carmen Guberina, MD
NPI 1639230063 · Ophthalmology Physician · New York, NY
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Guberina, MD is a Ophthalmology Physician provider in New York, NY (NPI 1639230063).
Provider details
- NPI number
- 1639230063
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 123100 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
291 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Closure of Tear Duct Opening Using Plug68761 | 170 | $121 |
| Established Patient Complete Exam of Visual System92014 | 60 | $139 |
| Established Patient Problem Focused Exam of Visual System92012 | 45 | $97 |
| Exam of Visual Field With Extended Testing92083 | 16 | $71 |
Typical Medicare-allowed amounts for these services range $71–$139 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 49 | 19 |
| Cyclosporinebrand: Restasis | 48 | 19 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 27 | 17 |
| Ketorolac Tromethamine | 20 | 12 |
| Dorzolamide Hcl | 14 | — |
| Brimonidine Tartrate | 13 | — |
| Lifitegrastbrand: Xiidra | 11 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2011-10-24
Frequently asked questions
- What is Carmen Guberina's NPI number?
- Carmen Guberina's National Provider Identifier (NPI) is 1639230063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Guberina's specialty?
- Carmen Guberina is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Carmen Guberina located?
- Carmen Guberina's practice location on file with NPPES is 136 E 64th St, New York, NY 10021.
- What is Carmen Guberina's phone number?
- The practice phone number listed in the NPPES registry for Carmen Guberina is (212) 628-5442.
- Does Carmen Guberina accept Medicare?
- Carmen Guberina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Guberina's NPI active?
- Yes — Carmen Guberina's NPI (1639230063) is active in the NPPES registry as of the last update on 2011-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.