CANDICE DISTEFANO OD
NPI 1235618620
Optometrist in Northport, NY

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment
79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Distefano Od NPPES

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

CANDICE DISTEFANO OD (NPI 1235618620) is an individual optometrist in Northport, New York, licensed in New York (TUV008851-1) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2018).

NPPES Registry Identity

NPI1235618620
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCANDICE DISTEFANOCredential: OD
Location Address79 MIDDLEVILLE RDNorthport, NY 11768-2200
Mailing Address627 Hicksville RdMassapequa, NY 11758-1241
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2018
Enumeration DateAugust 7, 2018
NPI 1235618620 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 · TUV008851-1
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.
79 MIDDLEVILLE RD, Northport, NY 11768

Accepted 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

Candice Distefano Od 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 ID1456681279
PECOS Enrollment IDI20190920002875
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 9

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.

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.
184 services182 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
150 services148 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.
135 services135 patients
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.
63 services62 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
42 services42 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.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11768 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768

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 Candice Distefano's NPI number?

The NPI number for Candice Distefano is 1235618620. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Candice Distefano located?

Candice Distefano practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Candice Distefano's specialty?

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

Is Candice Distefano enrolled in Medicare?

Yes. Candice Distefano 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 Candice Distefano accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Candice Distefano 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 Candice Distefano was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.