DR. GINA SCLAFANI O.D.
NPI 1326109844
Optometrist in Freehold, NJ

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
3333 US HIGHWAY 9, FREEHOLD, NJ 07728(732) 780-5771(732) 780-1511 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1326109844
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. GINA SCLAFANICredential: O.D.
Location Address3333 US HIGHWAY 9Freehold, NJ 07728-8503
Mailing Address3333 Us Highway 9Freehold, NJ 07728-8503 · (732) 780-5771 · Fax (732) 780-1511
Fax(732) 780-1511
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1988
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 5, 2010
NPI 1326109844 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 NJ · OA04882
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.

3333 US HIGHWAY 9, Freehold, NJ 07728

Other Names 1

Professional Name (2)Dr. Gina Sclafani Od

Other Identifiers 1

Medicare PIN168347ZE84NJ

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

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.

PECOS PAC ID5193753697
PECOS Enrollment IDI20050727000087
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 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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
151 services132 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
137 services116 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
122 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
23 services18 patients

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.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

Optometrist
3333 US HIGHWAY 9
FREEHOLD, NJ 07728
Pharmacy (Long Term Care Pharmacy)
3333 US HIGHWAY 9
FREEHOLD, NJ 07728
Pharmacy
3333 US HIGHWAY 9
FREEHOLD, NJ 07728

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.

What insurance does Gina Sclafani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 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 with the weekly NPPES data releases published by CMS.