DR. JOHN DAVID BARBATO O.D.
NPI 1053393801
Optometrist in Secaucus, NJ

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
1301 PATERSON PLANK RD, SECAUCUS, NJ 07094(201) 864-2965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John David Barbato O.d. NPPES

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

DR. JOHN DAVID BARBATO O.D. (NPI 1053393801) is an individual optometrist in Secaucus, New Jersey, licensed in New Jersey (OA005314) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1994).

NPPES Registry Identity

NPI1053393801
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN DAVID BARBATOCredential: O.D.
Location Address1301 PATERSON PLANK RDSecaucus, NJ 07094-3707
Mailing Address1301 Paterson Plank RdSecaucus, NJ 07094-3707 · (201) 864-2965
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1994
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1053393801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NJ · OA005314
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.
1301 PATERSON PLANK RD, Secaucus, NJ 07094

Other Identifiers 6

Medicare ID-Type Unspecified462902NJ
Other1K8624NJ · Phs Health Net
Other5372479NJ · Aetna Traditional
Medicare UPINU51165NJ
Medicaid6242201NJ
Other2962366NJ · Aetna Managed Care

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

Dr. John David Barbato O.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 ID1658309570
PECOS Enrollment IDI20050802000382
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 10

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 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.
700 services506 patients
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.
675 services621 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
172 services147 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).
126 services125 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.
125 services121 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07094 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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%120 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%71 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%247 patients
Tobacco Use and Help with Quitting Among Adolescents
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Optometrist
1301 PATERSON PLANK RD
SECAUCUS, NJ 07094
Optometrist
1301 PATERSON PLANK RD
SECAUCUS, NJ 07094

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 John Barbato's NPI number?

The NPI number for John Barbato is 1053393801. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is John Barbato located?

John Barbato practices at 1301 Paterson Plank Rd, Secaucus, NJ 07094. The listed phone number is (201) 864-2965.

What is John Barbato's specialty?

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

Is John Barbato enrolled in Medicare?

Yes. John Barbato 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 John Barbato accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list John Barbato 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 John Barbato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.