TROY SANFILIPPO
NPI 1225638463
Optometrist in Waterford, CT
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Troy Sanfilippo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterford, CT 06385
- Reassigned Medicare billing, Connecticut enrollment
- 5 clinicians in this Medicare group
Newington, CT 06111
- Reassigned Medicare billing, Connecticut enrollment
- 5 clinicians in this Medicare group
Avon, CT 06001
- Reassigned Medicare billing, Connecticut enrollment
- 6 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.
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.
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.
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.
WATERFORD, CT 06385
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.
Which organizations bill Medicare for Troy Sanfilippo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Troy Sanfilippo reassigns Medicare benefits to 3 organizations: Professional Eyecare, LLC (Waterford, CT), Eyeconic Vision Care LLC (Newington, CT) and Avon Eye Associates LLC (Avon, CT). 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 Troy Sanfilippo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Troy Sanfilippo accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 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.
# Troy Sanfilippo · NPI 1225638463
Optometrist provider in Waterford, Connecticut. Individual provider, active in the CMS NPPES registry since October 27, 2020.
## Identity
- **NPI:** 1225638463 (Entity type: Individual)
- **Enumerated:** October 27, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3180 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 131 BOSTON POST RD, Waterford, CT 06385-2839
- **Phone:** (860) 442-5058 · **Fax:** (860) 443-4118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Professional Eyecare, LLC (NPI 1538396080, Waterford, CT); Eyeconic Vision Care LLC (NPI 1013525302, Newington, CT); Avon Eye Associates LLC (NPI 1962162701, Avon, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225638463) · Data from the CMS NPPES public registry.