SEPIDEH TARA ROUSTA MD
NPI 1275513277
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in East Brunswick, NJ

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
88.33/100
CMS Quality Rating
4 CORNWALL CT, EAST BRUNSWICK, NJ 08816(732) 613-9191(732) 613-1139 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sepideh Tara Rousta Md NPPES

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

SEPIDEH TARA ROUSTA MD (NPI 1275513277) is an individual pediatric ophthalmology and strabismus specialist in East Brunswick, New Jersey, licensed in New Jersey (25MA06717300) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1993).

NPPES Registry Identity

NPI1275513277
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameSEPIDEH TARA ROUSTACredential: MD
Location Address4 CORNWALL CTEast Brunswick, NJ 08816-3331
Mailing Address4 Cornwall CtEast Brunswick, NJ 08816-3331 · (732) 613-9191 · Fax (732) 613-1139
Fax(732) 613-1139
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1993
Enumeration DateJanuary 18, 2006
Last NPPES UpdateApril 20, 2020
NPPES CertifiedApril 20, 2020
NPI 1275513277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License Licensed in NJ · 25MA06717300
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 25MA06717300 (NJ)
4 CORNWALL CT, East Brunswick, NJ 08816

Other Identifiers 1

Medicaid7983409NJ

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

Sepideh Tara Rousta Md 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 ID4486685252
PECOS Enrollment IDI20050822001408
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 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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
23 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

Other Providers at the Same Location NPPES 7

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

Optometrist (Vision Therapy)
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Optometrist (Corneal and Contact Management)
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Optometrist (Vision Therapy)
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Ophthalmology
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816
Optometrist
4 CORNWALL CT
EAST BRUNSWICK, NJ 08816

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 Sepideh Rousta's NPI number?

The NPI number for Sepideh Rousta is 1275513277. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Sepideh Rousta located?

Sepideh Rousta practices at 4 Cornwall Ct, East Brunswick, NJ 08816. The listed phone number is (732) 613-9191.

What is Sepideh Rousta's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Sepideh Rousta enrolled in Medicare?

Yes. Sepideh Rousta 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 Sepideh Rousta accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Sepideh Rousta 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 Sepideh Rousta was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.