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Compare the published Medicare service mix of Michelle Renee Packles, M.D. with clinicians in the same registry specialty: Ophthalmology.

OLD WESTBURY, NY · 10 milesEdit location
Within 10 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

2024 published service data · 141 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Paul Sforza, M.D.

Ophthalmology · Little Neck, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
72%Service-mix similarity~7.9 milesView profile →

David Immanuel, M.D., PH.D.

Ophthalmology · Hempstead, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
69%Service-mix similarity~6.0 milesView profile →

Shyam Patel, MD

Ophthalmology · Garden City, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
63%Service-mix similarity~5.4 milesView profile →

Vinay Neil Dewan, M.D.

Ophthalmology · New Hyde Park, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Exam of visual field with extended testing (92083)
  • Removal of cataract with insertion of prosthetic lens (66984)
63%Service-mix similarity~5.9 milesView profile →

Anna Djougarian, M.D.

Ophthalmology · Manhasset, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Exam of visual field with extended testing (92083)
  • Removal of cataract with insertion of prosthetic lens (66984)
62%Service-mix similarity~5.3 milesView profile →

Peter J Breingan, MD

Ophthalmology · Manhasset, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
62%Service-mix similarity~5.3 milesView profile →

Peter Anthony D'arienzo, M.D.

Ophthalmology · Manhasset, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
62%Service-mix similarity~5.3 milesView profile →

Adam D Botwinick, M.D.

Ophthalmology · East Meadow, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Exam of visual field with extended testing (92083)
  • Removal of cataract with insertion of prosthetic lens (66984)
60%Service-mix similarity~5.3 milesView profile →

Lawrence I Ross, MD

Ophthalmology · Woodbury, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
60%Service-mix similarity~6.3 milesView profile →

Jordan Marc Garelick, MD

Ophthalmology · Bethpage, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
60%Service-mix similarity~6.3 milesView profile →

Di Zhou, MD

Ophthalmology · Garden City, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
  • Removal of cataract with insertion of prosthetic lens (66984)
59%Service-mix similarity~5.4 milesView profile →

Srilata Sriram Naidu, MD

Ophthalmology · Bethpage, NY

Shared published services
3 shared services · view billing descriptions
  • Established patient problem focused exam of visual system (92012)
  • Exam of visual field with extended testing (92083)
  • Removal of cataract with insertion of prosthetic lens (66984)
59%Service-mix similarity~6.3 milesView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in approximate distance order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.