DR. FRANK MICHAEL D'ORIO O.D.
NPI 1154323442
Optometrist in Vineland, NJ

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
206 N MAIN RD, VINELAND, NJ 08360(856) 691-0720(856) 691-6163 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Frank Michael D'orio O.d. NPPES

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

DR. FRANK MICHAEL D'ORIO O.D. (NPI 1154323442) is an individual optometrist in Vineland, New Jersey, licensed in New Jersey (OA05555) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (1998).

NPPES Registry Identity

NPI1154323442
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. FRANK MICHAEL D'ORIOCredential: O.D.
Location Address206 N MAIN RDVineland, NJ 08360-8201
Mailing Address206 N Main RdVineland, NJ 08360-8201 · (856) 691-0720 · Fax (856) 691-6163
Fax(856) 691-6163
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1998
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 9, 2016
NPI 1154323442 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 · OA05555
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.
206 N MAIN RD, Vineland, NJ 08360

Other Identifiers 1

Medicare UPINU83347NJ

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. Frank Michael D'orio 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 ID8022036847
PECOS Enrollment IDI20051114001033
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 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.
291 services290 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.
64 services42 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.
36 services35 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).
30 services29 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
30 services30 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%244 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
36%25 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,196 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%82 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%977 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier14 claims14 services$44.66 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims23 services$52.06 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 2

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

Optometrist
206 N MAIN RD
VINELAND, NJ 08360
Optometrist
206 N MAIN RD
VINELAND, NJ 08360

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 Frank D'orio's NPI number?

The NPI number for Frank D'orio is 1154323442. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Frank D'orio located?

Frank D'orio practices at 206 N Main Rd, Vineland, NJ 08360. The listed phone number is (856) 691-0720.

What is Frank D'orio's specialty?

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

Is Frank D'orio enrolled in Medicare?

Yes. Frank D'orio 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 Frank D'orio 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 Frank D'orio 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 Frank D'orio was last updated on March 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.