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DR. GINA DOLORIS DEFLORIA OD
NPI 1366331605
Optometrist in Richboro, PA

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
936 SECOND STREET PIKE, RICHBORO, PA 18954(215) 485-5384(215) 485-5709 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gina Doloris Defloria Od NPPES

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

DR. GINA DOLORIS DEFLORIA OD (NPI 1366331605) is an individual optometrist in Richboro, Pennsylvania, licensed in Pennsylvania (OEG004272) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newtown, and is a graduate of Pennsylvania College Of Optometry (2025).

NPPES Registry Identity

NPI1366331605
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. GINA DOLORIS DEFLORIACredential: OD
Location Address936 SECOND STREET PIKERichboro, PA 18954-1527
Mailing Address708 Grange DrYardley, PA 19067-5633 · (724) 454-6684
Phone(215) 485-5384
Fax(215) 485-5709
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2025
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1366331605 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 PA · OEG004272
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.
936 SECOND STREET PIKE, Richboro, PA 18954
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Secondary Practice Location 1

Location 14 Terry Dr Ste 8Newtown, PA 18940-1838 · Phone (215) 860-9001 · Fax (215) 860-2110

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 Doloris Defloria Od 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 ID4183139140
PECOS Enrollment IDI20250717001658
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18954 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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

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

DR. KIARA LYNCH OD
Optometrist
936 SECOND STREET PIKE
RICHBORO, PA 18954
Bucks County (215) 485-5384

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 Defloria's NPI number?

The NPI number for Gina Defloria is 1366331605. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Gina Defloria located?

Gina Defloria practices at 936 Second Street Pike, Richboro, PA 18954. The listed phone number is (215) 485-5384.

What is Gina Defloria's specialty?

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

Is Gina Defloria enrolled in Medicare?

Yes. Gina Defloria 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 Defloria accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Gina Defloria 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 Defloria was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.