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JANELLE TERTULLIEN-MCDONALD
NPI 1235547126
Optometrist in Passaic, NJ

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
93.15/100
CMS Quality Rating
177 PROSPECT ST, PASSAIC, NJ 07055(973) 777-4343 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janelle Tertullien-mcdonald NPPES

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

JANELLE TERTULLIEN-MCDONALD (NPI 1235547126) is an individual optometrist in Passaic, New Jersey, licensed in New Jersey (27OA00653800) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2014).

NPPES Registry Identity

NPI1235547126
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJANELLE TERTULLIEN-MCDONALD
Location Address177 PROSPECT STPassaic, NJ 07055-5150
Mailing Address31 Scarlet DrParlin, NJ 08859-2505
Phone(973) 777-4343
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2014
Enumeration DateJuly 24, 2014
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1235547126 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 NJ · 27OA00653800
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.
177 PROSPECT ST, Passaic, NJ 07055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Janelle Tertullien-mcdonald 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 ID4688990294
PECOS Enrollment IDI20150225002114
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 Janelle Tertullien-mcdonald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Jersey Eye Center, P.A.
8.3 mi
Optometrist
1 NORTH WASHINGTON AVENUE
Bergenfield, NJ 07621
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: New Jersey Eye Center PA
  • 22 clinicians in this Medicare group
NPI 1235155615 (201) 384-7333
Hudson Eyecare Associates PA
8.9 mi
Optometrist
368 CENTRAL AVE
Jersey City, NJ 07307
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1811162159 (201) 659-2775
Invision Eyecare Specialists
53 mi
Ophthalmology
1 STATE ROUTE 70
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1578030011 (732) 210-0140

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 2

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.
22 services22 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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.

93.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost77.19

Other Providers at the Same Location NPPES 3

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

STEVEN ZALAZNICK O.D.
Optometrist
177 PROSPECT ST
PASSAIC, NJ 07055
Passaic County (973) 777-4343
PASSAIC EYECARE, PC
Optometrist
177 PROSPECT ST
PASSAIC, NJ 07055
Passaic County (973) 777-4343
ALYSON ESCALONA OD
Optometrist
177 PROSPECT ST
PASSAIC, NJ 07055
Passaic County (973) 777-4343

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 Janelle Tertullien-mcdonald's NPI number?

The NPI number for Janelle Tertullien-mcdonald is 1235547126. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Janelle Tertullien-mcdonald located?

Janelle Tertullien-mcdonald practices at 177 Prospect St, Passaic, NJ 07055. The listed phone number is (973) 777-4343.

What is Janelle Tertullien-mcdonald's specialty?

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

Is Janelle Tertullien-mcdonald enrolled in Medicare?

Yes. Janelle Tertullien-mcdonald 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 Janelle Tertullien-mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janelle Tertullien-mcdonald reassigns Medicare benefits to 3 organizations: New Jersey Eye Center, P.A. (Bergenfield, NJ), Hudson Eyecare Associates PA (Jersey City, NJ) and Invision Eyecare Specialists (Lakewood, NJ). 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 Janelle Tertullien-mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janelle Tertullien-mcdonald 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 Oscar Health and 7 other insurers list Janelle Tertullien-mcdonald 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 Janelle Tertullien-mcdonald was last updated on March 14, 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.