DR. MARGARET A MARCONE O.D.
NPI 1427056969
Optometrist in Danbury, CT
About Dr. Margaret A Marcone O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARGARET A MARCONE O.D. (NPI 1427056969) is an individual optometrist in Danbury, Connecticut, licensed in Connecticut (002401) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Milford, and is a graduate of State University Of New York - State College Optometry (1994).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Margaret A Marcone 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.
Medicare Billing Reassignment
Medicare enrollment records show Margaret Marcone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 17 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 8
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 06810 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANBURY, CT 06810
DANBURY, CT 06810
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 Margaret Marcone's NPI number?
The NPI number for Margaret Marcone is 1427056969. It was assigned to this individual provider in the NPPES registry on July 8, 2005.
Where is Margaret Marcone located?
Margaret Marcone practices at 69 Sand Pit Rd Suite 101, Danbury, CT 06810. The listed phone number is (203) 791-2020.
What is Margaret Marcone's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Margaret Marcone enrolled in Medicare?
Yes. Margaret Marcone 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 Margaret Marcone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Marcone reassigns Medicare benefits to Connecticut Eye Consultants, PC (Danbury, CT). 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 Margaret Marcone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Margaret Marcone accept?
Health plans from Anthem Blue Cross and Blue Shield list Margaret Marcone 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 Margaret Marcone was last updated on February 9, 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.
# Dr. Margaret A Marcone, O.D. · NPI 1427056969
Optometrist provider in Danbury, Connecticut. Individual provider, active in the CMS NPPES registry since July 8, 2005.
## Identity
- **NPI:** 1427056969 (Entity type: Individual)
- **Enumerated:** July 8, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 002401 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 69 SAND PIT RD, SUITE 101, Danbury, CT 06810-4004
- **Phone:** (203) 791-2020 · **Fax:** (203) 778-6238
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Connecticut Eye Consultants, PC (NPI 1295773893, Danbury, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 1994
## Record status
- **NPPES last updated:** February 9, 2021
- **Other identifiers:** Medicaid 004166220 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1427056969) · Data from the CMS NPPES public registry.