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DR. GILBERT SEAN CATINO OD
NPI 1376543579
Optometrist in Wilmington, NC

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
8116 MARKET ST, SUITE 100, WILMINGTON, NC 28411(910) 686-8000(910) 686-8077 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gilbert Sean Catino Od NPPES

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

DR. GILBERT SEAN CATINO OD (NPI 1376543579) is an individual optometrist in Wilmington, North Carolina, licensed in North Carolina (1856) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2002).

NPPES Registry Identity

NPI1376543579
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GILBERT SEAN CATINOCredential: OD
Location Address8116 MARKET ST, SUITE 100Wilmington, NC 28411-9386
Mailing Address8116 Market St, Suite 100Wilmington, NC 28411-9386 · (910) 686-8000 · Fax (910) 686-8077
Phone(910) 686-8000
Fax(910) 686-8077
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2002
Enumeration DateJuly 28, 2005
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1376543579 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 NC · 1856
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.
8116 MARKET ST, Wilmington, NC 28411
Open in Google Maps ↗

Other Identifiers 10

Other410049403NC · Rr Medicare Individual #
Medicare UPINU92312
Medicaid89093MMNC
Medicare PIN2472287BNC
Other410049401NC · Rr Medicare Individual #
Medicare PIN2472287NC
Medicare PIN2472287CNC
Other093MMNC · Bcbs Prov #
Medicare PIN2472287ANC
Medicare PIN2472287DNC

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 NC, Blue Cross and Blue Shield of Oklahoma 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. Gilbert Sean Catino 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 ID9537211339
PECOS Enrollment IDI20090923000835
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 11

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
3,870 services27 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
1,440 services11 patients
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.
420 services418 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.
201 services175 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
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).
132 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28411 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.39
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
90%102 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
84%25 patients1/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
52%25 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,095 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%214 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,093 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 46 patients
89%46 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
60%113 patients
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.

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 Gilbert Catino's NPI number?

The NPI number for Gilbert Catino is 1376543579. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Gilbert Catino located?

Gilbert Catino practices at 8116 Market St Suite 100, Wilmington, NC 28411. The listed phone number is (910) 686-8000.

What is Gilbert Catino's specialty?

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

Is Gilbert Catino enrolled in Medicare?

Yes. Gilbert Catino 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 Gilbert Catino accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Gilbert Catino 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 Gilbert Catino was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.