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DR. JOSEPH M KASPARECK JR. MD
NPI 1285615989
Ophthalmology in Somerville, NJ

Active since November 09, 2005PECOS Enrolled
93.99/100
CMS Quality Rating
56 UNION AVE, SOMERVILLE, NJ 08876(908) 725-6225(908) 218-0802 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joseph M Kaspareck Jr. Md NPPES

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

DR. JOSEPH M KASPARECK JR. MD (NPI 1285615989) is an individual ophthalmology provider in Somerville, New Jersey, licensed in New Jersey (25MA04084400) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285615989
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOSEPH M KASPARECK JR.Credential: MD
Location Address56 UNION AVESomerville, NJ 08876-2017
Mailing Address56 Union AveSomerville, NJ 08876-2017 · (908) 725-6225 · Fax (908) 218-0802
Phone(908) 725-6225
Fax(908) 218-0802
Sole ProprietorYes
Enumeration DateNovember 9, 2005
Last NPPES UpdateDecember 13, 2013
✔ NPI 1285615989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA04084400
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
56 UNION AVE, Somerville, NJ 08876
Open in Google Maps ↗

Other Identifiers 5

OtherP2111070Oxford
Medicare UPINC55366
Medicaid1574302NJ
Other4332108Aetna
Medicare ID-Type Unspecified452718

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph M Kaspareck Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Joseph Kaspareck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Eye Specialists, PA
2.9 mi
Ophthalmology
745 ROUTE 202/206, SUITE 301
Bridgewater, NJ 08807
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1730216383 (908) 231-1110

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 08876 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.

93.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost79.97

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
3%260 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
98%260 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
39%49 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
12%499 patients1/55-star benchmark: 95%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
80%167 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
96%27 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
100%27 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%2,630 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%409 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
0%1,082 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%25 patients2/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%981 patients1/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 557 patients
99%557 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
89%179 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%981 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%981 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,017 patients
0%1,017 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

AHMED M ABDEL-MEGID M.D.
Internal Medicine
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-5380
ASHLEIGH KOZICZ PA-C
Physician Assistant
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-5380
PEDIATRIC PULMONARY & ASTHMA INSTITUTE,PC
Clinic/Center
56 UNION AVE, SUITE 3
SOMERVILLE, NJ 08876
Somerset County (908) 526-5212
SOMERSET EAR NOSE &THROAT ASS PA
Specialist
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-1022
MRS. JENNIFER SIDIROPOULOS PA-C
Physician Assistant
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-5380
DR. GERALD F. FENSTER M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-1022
CENTRAL JERSEY EYE ASSOCIATES
Ophthalmology
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 725-6225
RHEUMATOLOGY CENTER OF NEW JERSEY INC.
Clinic/Center
56 UNION AVE
SOMERVILLE, NJ 08876
Somerset County (908) 722-5380

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 Joseph Kaspareck's NPI number?

The NPI number for Joseph Kaspareck is 1285615989. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Joseph Kaspareck located?

Joseph Kaspareck practices at 56 Union Ave, Somerville, NJ 08876. The listed phone number is (908) 725-6225.

What is Joseph Kaspareck's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Kaspareck enrolled in Medicare?

Yes. Joseph Kaspareck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Kaspareck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Kaspareck reassigns Medicare benefits to The Eye Specialists, PA (Bridgewater, NJ). The 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 Joseph Kaspareck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Kaspareck was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.