DR. DEANNA KORCHA IPPOLITO
NPI 1225683121
Optometrist in Summit, NJ

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
12 COLONY CT, SUMMIT, NJ 07901(908) 256-0853 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Mar 6, 2023, Apr 6, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Deanna Korcha Ippolito NPPES

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

DR. DEANNA KORCHA IPPOLITO (NPI 1225683121) is an individual optometrist in Summit, New Jersey, licensed in New York (005663) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1995).

NPPES Registry Identity

NPI1225683121
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DEANNA KORCHA IPPOLITO
Location Address12 COLONY CTSummit, NJ 07901-3204
Mailing Address12 Colony CtSummit, NJ 07901-3204
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1995
Enumeration DateAugust 7, 2019
Last NPPES UpdateJuly 11, 20246 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1225683121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · 005663✔ Licensed in PA · OEG003625✔ Licensed in WI · 3689-35✔ Licensed in NJ · 005521✔ Licensed in IL · 046011466✔ Licensed in NJ · 27OA00552100✔ Licensed in FL · TPOP32✔ Licensed in NE · 1525✔ Licensed in MD · TA2728✔ Licensed in VA · 0618002862✔ Licensed in CT · 3221✔ Licensed in VT · 030.0133916✔ Licensed in IN · 18004474A
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.
12 COLONY CT, Summit, NJ 07901

Other Names 1

Other Name (5)Deanna K Ippolito

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. Deanna Korcha Ippolito 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 ID8426388257
PECOS Enrollment IDI20210429000100
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

30

Medicare enrollment records show Deanna Ippolito reassigns Medicare billing to 30 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optician
9015 QUEENS BLVD STE 1029
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Optometrist
104 PHEASANT RUN
Newtown, PA 18940
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optometrist
18 GREENWICH AVE STE 1
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 133 clinicians in this Medicare group
Eyewear Supplier
2100 DIXWELL AVE, SUITE 16
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Optometrist
360 E PULASKI HWY, 1B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1467843516 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
45 ASYLUM ST
Hartford, CT 06103
  • Reassigned Medicare billing, Connecticut enrollment
  • 27 clinicians in this Medicare group
Optometrist
903 HARTFORD TPKE UNIT 29
Waterford, CT 06385
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Optometrist
1776 G ST NW STE 104
Washington, DC 20006
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Medicare enrollment name: Myeyedr Optometry Of Virginia, PLLC
  • Also billed through NPI 1710643515 (Virginia)
  • 202 clinicians in this Medicare group
Optometrist
3171 CHILI AVE, SUITE 100
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
Optometrist
175 N FRALEY ST
Kane, PA 16735
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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 Deanna Ippolito's NPI number?

The NPI number for Deanna Ippolito is 1225683121. It was assigned to this individual provider in the NPPES registry on August 7, 2019. The provider is also known as Deanna K Ippolito.

Where is Deanna Ippolito located?

Deanna Ippolito practices at 12 Colony Ct, Summit, NJ 07901. The listed phone number is (908) 256-0853.

What is Deanna Ippolito's specialty?

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

Is Deanna Ippolito enrolled in Medicare?

Yes. Deanna Ippolito 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 Deanna Ippolito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Ippolito reassigns Medicare benefits to 30 organizations: Crystal Eyewear Inc (Elmhurst, NY), Myeyedr Optometry Of Pennsylvania, LLC (Newtown, PA), Myeyedr Optometry Of Connecticut, LLC (Greenwich, CT), Raffaele Inc (Hamden, CT), Myeyedr Optometry Of Maryland, LLC (Elkton, MD) and 25 more organizations, listed in the Medicare section above. 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 Deanna Ippolito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deanna Ippolito accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 29 other insurers list Deanna Ippolito 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 Deanna Ippolito was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.