DR. LAILA COLICCHIO O.D.
NPI 1366423287
Optometrist in Perth Amboy, NJ

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
79.01/100
CMS Quality Rating
104 MARKET ST, PERTH AMBOY, NJ 08861(732) 826-5159(732) 826-2107 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Laila Colicchio O.d. NPPES

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

DR. LAILA COLICCHIO O.D. (NPI 1366423287) is an individual optometrist in Perth Amboy, New Jersey, licensed in New Jersey (OA005384) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1366423287
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LAILA COLICCHIOCredential: O.D.
Location Address104 MARKET STPerth Amboy, NJ 08861-4412
Mailing Address104 Market StPerth Amboy, NJ 08861-4412 · (732) 826-5159 · Fax (732) 826-2107
Fax(732) 826-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 8, 2005
Last NPPES UpdateJune 15, 2011
✔ NPI 1366423287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · OA005384✔ Licensed in NJ · TO000703
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.
104 MARKET ST, Perth Amboy, NJ 08861

Other Identifiers 3

Medicare UPINU57433NJ
Medicaid8972800NJ
Medicare PIN792259BW4NJ

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. Laila Colicchio 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 ID6901083849
PECOS Enrollment IDI20110602000241
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 Reassignments

2

Medicare enrollment records show Laila Colicchio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
104 MARKET ST
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Ophthalmology
1255 BROAD ST STE 104
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 9

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.
489 services408 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.
325 services309 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.
120 services97 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
95 services77 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
85 services80 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
79 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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.

79.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost26.66

Reported Quality Measures

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
97%68 patients4/55-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 5

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

Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861
Ophthalmology
104 MARKET ST
PERTH AMBOY, NJ 08861

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 Laila Colicchio's NPI number?

The NPI number for Laila Colicchio is 1366423287. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Laila Colicchio located?

Laila Colicchio practices at 104 Market St, Perth Amboy, NJ 08861. The listed phone number is (732) 826-5159.

What is Laila Colicchio's specialty?

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

Is Laila Colicchio enrolled in Medicare?

Yes. Laila Colicchio 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 Laila Colicchio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laila Colicchio reassigns Medicare benefits to 2 organizations: Santamaria Eye Center P A (Perth Amboy, NJ) and Eye Centers Of America, LLC (Bloomfield, 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 Laila Colicchio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laila Colicchio 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 9 other insurers list Laila Colicchio 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 Laila Colicchio was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.