Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STEVEN SKULA MD
NPI 1164009817
Ophthalmology in Franklin Lakes, NJ

Active since March 27, 2021PECOS Enrolled
794 FRANKLIN AVE STE 201, FRANKLIN LAKES, NJ 07417(201) 262-5070(215) 615-0527 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Oct 27, 2026, Jul 1, 2025 and 1 more (4 updates tracked since 2021).

About Dr. Steven Skula Md NPPES

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

DR. STEVEN SKULA MD (NPI 1164009817) is an individual ophthalmology provider in Franklin Lakes, New Jersey, licensed in New Jersey (25MA13125000) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164009817
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEVEN SKULACredential: MD
Location Address794 FRANKLIN AVE STE 201Franklin Lakes, NJ 07417-1399
Mailing Address794 Franklin Ave Ste 201Franklin Lakes, NJ 07417-1399 · (201) 262-5070 · Fax (201) 262-5333
Fax(215) 615-0527
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateNovember 4, 20264 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1164009817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA13125000
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.
794 FRANKLIN AVE STE 201, Franklin Lakes, NJ 07417

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. Steven Skula 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.

PECOS PAC ID1153849559
PECOS Enrollment IDI20250520000408
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.

Medicare Billing Reassignment

Medicare enrollment records show Steven Skula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07417 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.

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 Steven Skula's NPI number?

The NPI number for Steven Skula is 1164009817. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Steven Skula located?

Steven Skula practices at 794 Franklin Ave Ste 201, Franklin Lakes, NJ 07417. The listed phone number is (201) 262-5070.

What is Steven Skula's specialty?

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

Is Steven Skula enrolled in Medicare?

Yes. Steven Skula 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 Steven Skula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Skula reassigns Medicare benefits to University Of Penn - Medical Group (Doylestown, PA). 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 Steven Skula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Skula accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Steven Skula 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 Steven Skula affiliated with any hospitals?

According to CMS data, Steven Skula is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Skula was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.