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DR. RICHARD JAMES MADONNA O.D.
NPI 1194798637
Optometrist in New York, NY

Active since February 07, 2006PECOS Enrolled
79.72/100
CMS Quality Rating
33 W 42ND ST, SUNY STATE COLLEGE OF OPTOMETRY, NEW YORK, NY 10036(212) 938-4060 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard James Madonna O.d. NPPES

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

DR. RICHARD JAMES MADONNA O.D. (NPI 1194798637) is an individual optometrist in New York, New York, licensed in New York (VUT4590) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194798637
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD JAMES MADONNACredential: O.D.
Location Address33 W 42ND ST, SUNY STATE COLLEGE OF OPTOMETRYNew York, NY 10036-8005
Mailing Address4 Lagoon LnHaverstraw, NY 10927-2101 · (845) 786-3340
Phone(212) 938-4060
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 15, 2010
✔ NPI 1194798637 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 NY · VUT4590
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.
33 W 42ND ST, New York, NY 10036
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Other Identifiers 3

Medicaid00244528NY
Medicare UPINT49133NY
Medicare PINC33711NY

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard James Madonna O.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.38
Promoting Interoperability88
Improvement Activities40
Cost54.56

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.

DR. DANIELLE BARI CRANE O.D.
Optometrist (Pediatrics)
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
DR. CORINNE E BLUM O.D.
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
GREGORI OSHEROV OD
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4000
EMILY CRANE
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
DR. TYBEE ELEFF O.D.
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
ELISABETH GRACE LAPPAN OD
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4001
SHAILA REDDY EMANI
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-4000
DR. JENNIFER S HAN O.D.
Optometrist (Vision Therapy)
33 W 42ND ST
NEW YORK, NY 10036
New York County (212) 938-5836

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 Richard Madonna's NPI number?

The NPI number for Richard Madonna is 1194798637. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Richard Madonna located?

Richard Madonna practices at 33 W 42nd St Suny State College Of Optometry, New York, NY 10036. The listed phone number is (212) 938-4060.

What is Richard Madonna's specialty?

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

Is Richard Madonna enrolled in Medicare?

Yes. Richard Madonna is registered in the Medicare PECOS enrollment system.

What insurance does Richard Madonna accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Richard Madonna 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 Richard Madonna was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.