SCOTT W SILODOR M.D.
NPI 1053392258
Ophthalmology in Wayne, NJ

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
1211 HAMBURG TPKE, 224, WAYNE, NJ 07470(973) 696-0998(973) 696-3247 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2017, Feb 22, 2017, Nov 10, 2016 (3 updates tracked since 2016).

About Scott W Silodor M.d. NPPES

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

SCOTT W SILODOR M.D. (NPI 1053392258) is an individual ophthalmology provider in Wayne, New Jersey, licensed in New Jersey (25MA06061500) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1053392258
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSCOTT W SILODORCredential: M.D.
Location Address1211 HAMBURG TPKE, 224Wayne, NJ 07470-5043
Mailing Address1211 Hamburg Tpke, 224Wayne, NJ 07470-5043 · (973) 696-0998 · Fax (973) 696-3247
Fax(973) 696-3247
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateNovember 7, 2005
Last NPPES UpdateMarch 2, 20173 updates tracked since enumeration
NPI 1053392258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA06061500
Definition
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.
1211 HAMBURG TPKE, Wayne, NJ 07470

Other Identifiers 9

Other149689AWSNJ · Medicare Rendering Number
Medicare UPINF85632NJ
Other037893NJ · Medicare Group
Other191754NJ · Medicare Group Number
Other0497752NJ · Aetna
OtherP1603435NJ · Oxford
Medicaid2026619NJ
Medicare PIN149689NJ
Medicare NSC0672700001NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott W Silodor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901992502
PECOS Enrollment IDI20071012000038
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,108 services1,064 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
282 services223 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
254 services235 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
238 services215 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
236 services229 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
154 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims16 services$51.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
1211 HAMBURG TPKE, SUITE 205
WAYNE, NJ 07470
Speech-Language Pathologist
1211 HAMBURG TPKE
WAYNE, NJ 07470
Podiatrist
1211 HAMBURG TPKE, SUITE 100
WAYNE, NJ 07470
Dietitian, Registered
1211 HAMBURG TPKE, SUITE 213
WAYNE, NJ 07470
Otolaryngology (Facial Plastic Surgery)
1211 HAMBURG TPKE, SUITE 205
WAYNE, NJ 07470
Speech-Language Pathologist
1211 HAMBURG TPKE
WAYNE, NJ 07470
Audiologist
1211 HAMBURG TPKE, STE 205
WAYNE, NJ 07470
Otolaryngology
1211 HAMBURG TPKE
WAYNE, NJ 07470

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 Scott Silodor's NPI number?

The NPI number for Scott Silodor is 1053392258. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Scott Silodor located?

Scott Silodor practices at 1211 Hamburg Tpke 224, Wayne, NJ 07470. The listed phone number is (973) 696-0998.

What is Scott Silodor's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Scott Silodor enrolled in Medicare?

Yes. Scott Silodor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Silodor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Scott Silodor 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 Scott Silodor was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.