DR. GINA SCLAFANI O.D.
NPI 1326109844
Optometrist in Freehold, NJ
About Dr. Gina Sclafani O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GINA SCLAFANI O.D. (NPI 1326109844) is an individual optometrist in Freehold, New Jersey, licensed in New Jersey (OA04882) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1988).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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. Gina Sclafani 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gina Sclafani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
Blackwood, NJ 08012
- Reassigned Medicare billing, New Jersey enrollment
- 26 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 5
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 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gina Sclafani's NPI number?
The NPI number for Gina Sclafani is 1326109844. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Dr. Gina Sclafani Od.
Where is Gina Sclafani located?
Gina Sclafani practices at 3333 Us Highway 9, Freehold, NJ 07728. The listed phone number is (732) 780-5771.
What is Gina Sclafani's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gina Sclafani enrolled in Medicare?
Yes. Gina Sclafani 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 Gina Sclafani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Sclafani reassigns Medicare benefits to 2 organizations: Freehold Family Eyecare P.C. (Freehold, NJ) and Eyecare Specialties Support Of Nj PC (Blackwood, NJ). 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 Gina Sclafani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Sclafani accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Gina Sclafani 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 Gina Sclafani was last updated on February 5, 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. Gina Sclafani, O.D. · NPI 1326109844
Optometrist provider in Freehold, New Jersey. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1326109844 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OA04882 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3333 US HIGHWAY 9, Freehold, NJ 07728-8503
- **Phone:** (732) 780-5771 · **Fax:** (732) 780-1511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Freehold Family Eyecare P.C. (NPI 1407183163, Freehold, NJ); Eyecare Specialties Support Of Nj PC (NPI 1003601287, Blackwood, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 1988
## Record status
- **NPPES last updated:** February 5, 2010
- **Other identifiers:** Medicare PIN 168347ZE84 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1326109844) · Data from the CMS NPPES public registry.