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IRINA KOTOVSKY FAZIO O.D.
NPI 1275648636
Optometrist in New York, NY

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
1042 SECOND AVE, LENSCRAFTERS INC,, NEW YORK, NY 10011(212) 759-8150 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Irina Kotovsky Fazio O.d. NPPES

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

IRINA KOTOVSKY FAZIO O.D. (NPI 1275648636) is an individual optometrist in New York, New York, licensed in New York (TUV007075) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2006).

NPPES Registry Identity

NPI1275648636
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameIRINA KOTOVSKY FAZIOCredential: O.D.
Location Address1042 SECOND AVE, LENSCRAFTERS INC,New York, NY 10011
Mailing Address3215 41st St Apt D3Astoria, NY 11103-3537 · (646) 483-9165
Phone(212) 759-8150
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2006
Enumeration DateAugust 19, 2006
Last NPPES UpdateDecember 18, 2008
✔ NPI 1275648636 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 · TUV007075
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.
1042 SECOND AVE, New York, NY 10011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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

Irina Kotovsky Fazio O.d. 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 ID9436215597
PECOS Enrollment IDI20090226000087
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 Irina Fazio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clear Vision Ophthalmology PLLC
4.1 mi
Ophthalmology
7910 34TH AVE STE 1Y
Jackson Heights, NY 11372
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1700206067 (718) 429-2470
Flushing Hospital & Medical Center
7.9 mi
General Acute Care Hospital
4500 PARSONS BLVD
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 327 clinicians in this Medicare group
NPI 1548217763 (718) 670-6000
Jamaica Hospital
8.8 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918

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 10011 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

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 Irina Fazio's NPI number?

The NPI number for Irina Fazio is 1275648636. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Irina Fazio located?

Irina Fazio practices at 1042 Second Ave Lenscrafters Inc,, New York, NY 10011. The listed phone number is (212) 759-8150.

What is Irina Fazio's specialty?

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

Is Irina Fazio enrolled in Medicare?

Yes. Irina Fazio 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 Irina Fazio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Fazio reassigns Medicare benefits to 3 organizations: Clear Vision Ophthalmology PLLC (Jackson Heights, NY), Flushing Hospital & Medical Center (Flushing, NY) and Jamaica Hospital (Jamaica, NY). 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 Irina Fazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irina Fazio 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 Irina Fazio 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 Irina Fazio was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.