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LAURA A. HIRSCHFELD MD
NPI 1376577445
Ophthalmology in Newton, NJ

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
75.68/100
CMS Quality Rating
183 HIGH ST, NEWTON, NJ 07860(973) 383-6345(973) 383-0032 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laura A. Hirschfeld Md NPPES

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

LAURA A. HIRSCHFELD MD (NPI 1376577445) is an individual ophthalmology provider in Newton, New Jersey, licensed in New Jersey (MA70837) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1996).

NPPES Registry Identity

NPI1376577445
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLAURA A. HIRSCHFELDCredential: MD
Location Address183 HIGH STNewton, NJ 07860-9601
Mailing Address183 High StNewton, NJ 07860-9601 · (973) 383-6345 · Fax (973) 383-0032
Phone(973) 383-6345
Fax(973) 383-0032
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1996
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1376577445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · MA70837
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
183 HIGH ST, Newton, NJ 07860
Open in Google Maps ↗

Other Identifiers 1

Medicaid8466408NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Laura A. Hirschfeld Md 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 ID9032171152
PECOS Enrollment IDI20041101000969
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 Reassignment

Medicare enrollment records show Laura Hirschfeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Physicians Of Sussex County
Same address
Ophthalmology
183 HIGH ST
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1861429672 (973) 383-6345

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 15

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.
1,211 services1,057 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.
404 services373 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
273 services165 patients
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.
265 services159 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.
240 services223 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.
231 services171 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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.

75.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost18.93

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
100%129 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%2,367 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,422 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%54 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%342 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%1,811 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 472 patients
Patients tobacco: 42% · 33 patients
99%472 patients5/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
80%144 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
25%1,811 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%1,811 patients2/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
96%25 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.

Other Providers at the Same Location NPPES 17

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

DR. HOWARD J SOSNA D.D.S
Dentist (Oral and Maxillofacial Surgery)
183 HIGH ST, SUITE 1300
NEWTON, NJ 07860
Sussex County (973) 300-5700
DR. PAVEL TISHUK MD
Psychiatry & Neurology (Neurology)
183 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 300-0579
SARAH OSASU CHIMA M.D.
Surgery
183 HIGH ST, SUITE 1500
NEWTON, NJ 07860
Sussex County (973) 383-6244
MEDICAL CENTER OPTICIANS
Durable Medical Equipment & Medical Supplies
183 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-1191
AMIT VORA
Ophthalmology
183 HIGH ST, SUITE 2200
NEWTON, NJ 07860
Sussex County (973) 383-6345
ROBERT G. BARONE MD
Ophthalmology
183 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-6345
DR. CYNTHIA M JONES M.D.
Surgery
183 HIGH ST, SUITE1500
NEWTON, NJ 07860
Sussex County (973) 383-6244
RMM ANESTHESIA
Clinic/Center (Ambulatory Surgical)
183 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-6345

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 Laura Hirschfeld's NPI number?

The NPI number for Laura Hirschfeld is 1376577445. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Laura Hirschfeld located?

Laura Hirschfeld practices at 183 High St, Newton, NJ 07860. The listed phone number is (973) 383-6345.

What is Laura Hirschfeld's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Laura Hirschfeld enrolled in Medicare?

Yes. Laura Hirschfeld 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 organization bills Medicare for Laura Hirschfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Hirschfeld reassigns Medicare benefits to Eye Physicians Of Sussex County (Newton, NJ). The 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 Laura Hirschfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Hirschfeld accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Laura Hirschfeld 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 Laura Hirschfeld was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.