DR. MARGARET A MARCONE O.D.
NPI 1427056969
Optometrist in Danbury, CT

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
69 SAND PIT RD, SUITE 101, DANBURY, CT 06810(203) 791-2020(203) 778-6238 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1427056969
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARGARET A MARCONECredential: O.D.
Location Address69 SAND PIT RD, SUITE 101Danbury, CT 06810-4004
Mailing Address69 Sand Pit Rd, Suite 101Danbury, CT 06810-4004 · (203) 791-2020 · Fax (203) 778-6238
Fax(203) 778-6238
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1994
Enumeration DateJuly 8, 2005
Last NPPES UpdateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
NPI 1427056969 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 CT · 002401
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.
69 SAND PIT RD, Danbury, CT 06810

Secondary Practice Location 1

Location 1120 Park Lane Rd Ste B203New Milford, CT 06776-2445 · Phone (203) 791-2020 · Fax (203) 778-6238

Other Identifiers 1

Medicaid004166220CT

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. 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.

PECOS PAC ID9830213404
PECOS Enrollment IDI20100902001135
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 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.

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.
315 services250 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.
244 services243 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
109 services106 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.
71 services69 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.
49 services47 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 patients

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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Occupational Therapist
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Nurse Practitioner (Gerontology)
69 SAND PIT RD
DANBURY, CT 06810
Clinical Neuropsychologist
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Physician Assistant
69 SAND PIT RD, SUITE 300
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.

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.