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IRENE TRAN-BALBIN O.D.
NPI 1114367422
Optometrist in Towaco, NJ

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
94.67/100
CMS Quality Rating
440 MAIN RD, TOWACO, NJ 07082(973) 588-3644(973) 588-3642 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About Irene Tran-balbin O.d. NPPES

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

IRENE TRAN-BALBIN O.D. (NPI 1114367422) is an individual optometrist in Towaco, New Jersey, licensed in New Jersey (27OA00652900) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2013).

NPPES Registry Identity

NPI1114367422
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameIRENE TRAN-BALBINCredential: O.D.
Location Address440 MAIN RDTowaco, NJ 07082-1288
Mailing Address440 Main RdTowaco, NJ 07082-1288 · (973) 588-3644 · Fax (973) 588-3642
Phone(973) 588-3644
Fax(973) 588-3642
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1114367422 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 · 27OA00652900✔ Licensed in NY · TUV008004
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.
440 MAIN RD, Towaco, NJ 07082
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Accepted Insurance

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

Irene Tran-balbin 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 ID9436384609
PECOS Enrollment IDI20140813000181
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 12

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.
573 services565 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.
364 services307 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.
317 services244 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.
163 services140 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).
121 services117 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.
121 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07082 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.

94.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost82.24

Other Providers at the Same Location NPPES 3

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

INNOVATIVE EYE ASSOCIATES INC.
Optometrist
440 MAIN RD
TOWACO, NJ 07082
Morris County (917) 750-0693
DR. AMY VINOD JASANI O.D.
Optometrist
440 MAIN RD
TOWACO, NJ 07082
Morris County (973) 588-3644
DR. SUSAN PRZETAK-CASE O.D.
Optometrist (Corneal and Contact Management)
440 MAIN RD
TOWACO, NJ 07082
Morris County (973) 316-2626

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 Irene Tran-balbin's NPI number?

The NPI number for Irene Tran-balbin is 1114367422. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Irene Tran-balbin located?

Irene Tran-balbin practices at 440 Main Rd, Towaco, NJ 07082. The listed phone number is (973) 588-3644.

What is Irene Tran-balbin's specialty?

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

Is Irene Tran-balbin enrolled in Medicare?

Yes. Irene Tran-balbin 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 Irene Tran-balbin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Irene Tran-balbin 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 Irene Tran-balbin was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.