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TROY SANFILIPPO
NPI 1225638463
Optometrist in Waterford, CT

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment
131 BOSTON POST RD, WATERFORD, CT 06385(860) 442-5058(860) 443-4118 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Troy Sanfilippo NPPES

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

TROY SANFILIPPO (NPI 1225638463) is an individual optometrist in Waterford, Connecticut, licensed in Connecticut (3180) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225638463
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTROY SANFILIPPO
Location Address131 BOSTON POST RDWaterford, CT 06385-2839
Mailing Address131 Boston Post RdWaterford, CT 06385-2839 · (860) 442-5058 · Fax (860) 443-4118
Phone(860) 442-5058
Fax(860) 443-4118
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2020
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1225638463 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 CT · 3180
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.
131 BOSTON POST RD, Waterford, CT 06385
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Troy Sanfilippo 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 ID6507266632
PECOS Enrollment IDI20210611000380
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 4

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.
69 services69 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
26 services26 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.
25 services24 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 4

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

EMMA PUNSALAN OD
Optometrist
131 BOSTON POST RD
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (850) 442-5058
MR. WILLIAM D. FOREMAN L.O.
Technician/Technologist (Optician)
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-1167
MRS. MARY CHRISTINE BEAULIEU OD
Optometrist
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-5058
PROFESSIONAL EYECARE, LLC
Optometrist
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-5058

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 Troy Sanfilippo's NPI number?

The NPI number for Troy Sanfilippo is 1225638463. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Troy Sanfilippo located?

Troy Sanfilippo practices at 131 Boston Post Rd, Waterford, CT 06385. The listed phone number is (860) 442-5058.

What is Troy Sanfilippo's specialty?

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

Is Troy Sanfilippo enrolled in Medicare?

Yes. Troy Sanfilippo 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 Troy Sanfilippo accept?

Health plans from Providence Health Plan list Troy Sanfilippo 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 Troy Sanfilippo was last updated on March 18, 2022. 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.