DR. SERGIO RACANATI
NPI 1386037935
Optometrist in Newark, NJ
About Dr. Sergio Racanati NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SERGIO RACANATI (NPI 1386037935) is an individual optometrist in Newark, New Jersey, licensed in New Jersey (270A00658000) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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. Sergio Racanati 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sergio Racanati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomfield, NJ 07003
- Reassigned Medicare billing, New Jersey enrollment
- 137 clinicians in this Medicare group
New Hyde Park, NY 11042
- Reassigned Medicare billing, New Jersey enrollment
- 417 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Sergio Racanati's NPI number?
The NPI number for Sergio Racanati is 1386037935. It was assigned to this individual provider in the NPPES registry on March 6, 2015.
Where is Sergio Racanati located?
Sergio Racanati practices at 875 Broad St, Newark, NJ 07102. The listed phone number is (973) 622-4492.
What is Sergio Racanati's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sergio Racanati enrolled in Medicare?
Yes. Sergio Racanati 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 Sergio Racanati's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Racanati reassigns Medicare benefits to 2 organizations: Eye Centers Of America, LLC (Bloomfield, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Sergio Racanati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sergio Racanati accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Sergio Racanati 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 Sergio Racanati was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Sergio Racanati · NPI 1386037935
Optometrist provider in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since March 6, 2015.
## Identity
- **NPI:** 1386037935 (Entity type: Individual)
- **Enumerated:** March 6, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 270A00658000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 875 BROAD ST, Newark, NJ 07102-2622
- **Phone:** (973) 622-4492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Centers Of America, LLC (NPI 1649563636, Bloomfield, NJ); Optum Medical Care Of New Jersey PC (NPI 1578665048, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1386037935) · Data from the CMS NPPES public registry.