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POONAM VARSANI
NPI 1194137661
Optometrist in East Orange, NJ

Active since June 02, 2014PECOS Enrolled
385 TREMONT AVE, EAST ORANGE, NJ 07018(973) 676-1000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2021, Dec 8, 2015 (2 updates tracked since 2015).

About Poonam Varsani NPPES

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

POONAM VARSANI (NPI 1194137661) is an individual optometrist in East Orange, New Jersey, licensed in California (14909) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194137661
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePOONAM VARSANI
Location Address385 TREMONT AVEEast Orange, NJ 07018-1023
Mailing Address16481 Magnolia StWestminster, CA 92683-7827 · (714) 848-0028 · Fax (714) 842-0160
Phone(973) 676-1000
Sole ProprietorNo
Enumeration DateJune 2, 2014
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1194137661 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 CA · 14909
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.
385 TREMONT AVE, East Orange, NJ 07018
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poonam Varsani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Poonam Varsani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2,379 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044
Regents Of The University Of California
2,428 mi
Rheumatology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 85 clinicians in this Medicare group
NPI 1487602579 (714) 456-8068
Regents Of The University Of California
2,428 mi
Ophthalmology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 113 clinicians in this Medicare group
NPI 1871541953 (714) 456-8068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%561 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
34%128 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
23%1,824 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%796 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
25%641 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 70% · 627 patients
65%627 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%1,668 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,668 patients1/55-star benchmark: 79%
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 20

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

MRS. GWENDOLYN CARMEL RVT
Specialist/Technologist Cardiovascular (Vascular Specialist)
385 TREMONT AVE, 112
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
EBONY MARIE HAWKES LPN
Licensed Practical Nurse
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
KATHLEEN HODGKISS PHD
Psychologist (Clinical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
MISS HANA MICHELE BARON NP, RN
Nurse Practitioner (Family)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
MRS. CARLA FRANCIS APN
Nurse Practitioner (Adult Health)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
DR. BINCY J PETER
Pharmacist
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
LINDA A WOLF PA-C
Physician Assistant (Surgical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
EAST ORANGE VAMC
Department of Veterans Affairs (VA) Pharmacy
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000

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 Poonam Varsani's NPI number?

The NPI number for Poonam Varsani is 1194137661. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Poonam Varsani located?

Poonam Varsani practices at 385 Tremont Ave, East Orange, NJ 07018. The listed phone number is (973) 676-1000.

What is Poonam Varsani's specialty?

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

Is Poonam Varsani enrolled in Medicare?

Yes. Poonam Varsani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Poonam Varsani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Varsani reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Hemet, CA), Regents Of The University Of California (Orange, CA) and Regents Of The University Of California (Orange, CA). Each 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 Poonam Varsani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Poonam Varsani was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.