DR. PATRICIA E CARNIGLIA OD
NPI 1366487662
Optometrist - Corneal and Contact Management in Red Bank, NJ

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
89.78/100
CMS Quality Rating
152 BROAD ST STE 2, RED BANK, NJ 07701(732) 747-7725 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Dr. Patricia E Carniglia Od NPPES

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

DR. PATRICIA E CARNIGLIA OD (NPI 1366487662) is an individual corneal and contact management provider in Red Bank, New Jersey, licensed in New York (TUV004764) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York - State College Optometry (2006).

NPPES Registry Identity

NPI1366487662
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. PATRICIA E CARNIGLIACredential: OD
Location Address152 BROAD ST STE 2Red Bank, NJ 07701-2047
Mailing Address335 Broad St Apt 25Red Bank, NJ 07701-2137 · (212) 689-2333 · Fax (212) 689-7550
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2006
Enumeration DateJune 19, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1366487662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in NY · TUV004764
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License TUV004764 (NY)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License TUV004764 (NY)
152 BROAD ST STE 2, Red Bank, NJ 07701

Secondary Practice Locations 2

Location 11809 Corlies Ave Ste 1Neptune, NJ 07753-4801 · Phone (732) 774-5566
Location 277 Park Ave, Suite 1DNew York, NY 10016-2556 · Phone (212) 689-2333 · Fax (212) 689-7550

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. Patricia E Carniglia 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 ID7618998295
PECOS Enrollment IDI20171004001788
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 14

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.
506 services489 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.
458 services425 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
337 services285 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
303 services211 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.
164 services144 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
125 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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.

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.

89.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.9
Promoting Interoperability100
Improvement Activities40
Cost81.04

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 Patricia Carniglia's NPI number?

The NPI number for Patricia Carniglia is 1366487662. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Patricia Carniglia located?

Patricia Carniglia practices at 152 Broad St Ste 2, Red Bank, NJ 07701. The listed phone number is (732) 747-7725.

What is Patricia Carniglia's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Patricia Carniglia enrolled in Medicare?

Yes. Patricia Carniglia 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 Patricia Carniglia accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Patricia Carniglia 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 Patricia Carniglia was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.