DR. PHILIP MARK FIORE MD
NPI 1306826581
Ophthalmology in Nutley, NJ
About Dr. Philip Mark Fiore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP MARK FIORE MD (NPI 1306826581) is an individual ophthalmology provider in Nutley, New Jersey, licensed in New Jersey (MA046962) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Dr. Philip Mark Fiore 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Fiore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomfield, NJ 07003
- Reassigned Medicare billing, New Jersey enrollment
- 137 clinicians in this Medicare group
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 15
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Philip Fiore's NPI number?
The NPI number for Philip Fiore is 1306826581. It was assigned to this individual provider in the NPPES registry on January 22, 2006.
Where is Philip Fiore located?
Philip Fiore practices at 213 Chestnut St, Nutley, NJ 07110. The listed phone number is (973) 667-2020.
What is Philip Fiore's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Philip Fiore enrolled in Medicare?
Yes. Philip Fiore 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 organization bills Medicare for Philip Fiore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Fiore reassigns Medicare benefits to Eye Centers Of America, LLC (Bloomfield, 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 Philip Fiore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Fiore accept?
Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Philip Fiore 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 Philip Fiore was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Philip Mark Fiore, MD · NPI 1306826581
Ophthalmology physician in Nutley, New Jersey. Individual provider, active in the CMS NPPES registry since January 22, 2006.
## Identity
- **NPI:** 1306826581 (Entity type: Individual)
- **Enumerated:** January 22, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MA046962 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 213 CHESTNUT ST, Nutley, NJ 07110-2328
- **Phone:** (973) 667-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eye Centers Of America, LLC (NPI 1649563636, Bloomfield, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 1984
## Record status
- **NPPES last updated:** June 28, 2010
- **Other identifiers:** Medicare UPIN B75003 (NJ); Medicare NSC 0807930001 (NJ); Medicare ID-Type Unspecified F1426092 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1306826581) · Data from the CMS NPPES public registry.