DR. ANZHELIKA VACCARO MD
NPI 1114176278
Ophthalmology in Port Jefferson, NY
About Dr. Anzhelika Vaccaro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANZHELIKA VACCARO MD (NPI 1114176278) is an individual ophthalmology provider in Port Jefferson, New York, licensed in New York (252029) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York Downstate Medical Center (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Anzhelika Vaccaro Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Anzhelika Vaccaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11790
- Reassigned Medicare billing, New York enrollment
- 134 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 19
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Anzhelika Vaccaro's NPI number?
The NPI number for Anzhelika Vaccaro is 1114176278. It was assigned to this individual provider in the NPPES registry on September 15, 2008.
Where is Anzhelika Vaccaro located?
Anzhelika Vaccaro practices at 125 Oakland Ave Suite 101, Port Jefferson, NY 11777. The listed phone number is (631) 828-7100.
What is Anzhelika Vaccaro's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Anzhelika Vaccaro enrolled in Medicare?
Yes. Anzhelika Vaccaro 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.
Which organization bills Medicare for Anzhelika Vaccaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anzhelika Vaccaro reassigns Medicare benefits to Ophthalmic Consultants Of Long Island (Stony Brook, NY). 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 Anzhelika Vaccaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anzhelika Vaccaro accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Anzhelika Vaccaro 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.
Is Anzhelika Vaccaro affiliated with any hospitals?
According to CMS data, Anzhelika Vaccaro is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Anzhelika Vaccaro was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Anzhelika Vaccaro, MD · NPI 1114176278
Ophthalmology physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since September 15, 2008.
## Identity
- **NPI:** 1114176278 (Entity type: Individual)
- **Enumerated:** September 15, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 252029 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 125 OAKLAND AVE, SUITE 101, Port Jefferson, NY 11777-2130
- **Phone:** (631) 828-7100 · **Fax:** (631) 828-7171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ophthalmic Consultants Of Long Island (NPI 1245271600, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2005
## Record status
- **NPPES last updated:** September 18, 2019
- **Other identifiers:** Medicaid 03137102 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1114176278) · Data from the CMS NPPES public registry.