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DR. MONIQUE MARIE PACHECO OD
NPI 1003956699
Optometrist in East Hanover, NJ

Active since February 06, 2007PECOS Enrolled
90.79/100
CMS Quality Rating
389 ROUTE 10, EAST HANOVER, NJ 07936(973) 781-0800 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2021, Apr 20, 2018 (2 updates tracked since 2018).

About Dr. Monique Marie Pacheco Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONIQUE MARIE PACHECO OD (NPI 1003956699) is an individual optometrist in East Hanover, New Jersey, licensed in New Jersey (27OA00678100) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003956699
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MONIQUE MARIE PACHECOCredential: OD
Location Address389 ROUTE 10East Hanover, NJ 07936-3564
Mailing Address111 OspreyHackettstown, NJ 07840-2715 · (908) 850-5043 · Fax (908) 850-5043
Phone(973) 781-0800
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1003956699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00678100✔ Licensed in PR · 632
Definition
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.
389 ROUTE 10, East Hanover, NJ 07936
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monique Marie Pacheco Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Monique Pacheco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ae Optometry LLC
25 mi
Optometrist
2045 ROUTE 57
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1457020612 (908) 366-4951

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07936 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.51
Promoting Interoperability100
Improvement Activities40
Cost69.8

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monique Pacheco's NPI number?

The NPI number for Monique Pacheco is 1003956699. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Monique Pacheco located?

Monique Pacheco practices at 389 Route 10, East Hanover, NJ 07936. The listed phone number is (973) 781-0800.

What is Monique Pacheco's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Monique Pacheco enrolled in Medicare?

Yes. Monique Pacheco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monique Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Pacheco reassigns Medicare benefits to Ae Optometry LLC (Hackettstown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monique Pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Pacheco accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Monique Pacheco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monique Pacheco was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.