DR. WILLIAM H. CONSTAD M.D.
NPI 1437267630
Ophthalmology in Millburn, NJ
About Dr. William H. Constad M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM H. CONSTAD M.D. (NPI 1437267630) is an individual ophthalmology provider in Millburn, New Jersey, licensed in New Jersey (25MA03910000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of Medical College Of Pennsylvania (1980).
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. William H. Constad M.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 Reassignments
2Medicare enrollment records show William Constad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, New Jersey enrollment
- 118 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey City Medical Center
Acute Care Hospitals · Jersey City, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07041 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.
MILLBURN, NJ 07041
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 William Constad's NPI number?
The NPI number for William Constad is 1437267630. It was assigned to this individual provider in the NPPES registry on August 28, 2006.
Where is William Constad located?
William Constad practices at 288 Millburn Ave, Millburn, NJ 07041. The listed phone number is (973) 912-9100.
What is William Constad's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is William Constad enrolled in Medicare?
Yes. William Constad 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 William Constad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Constad reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Associated Retinal Consultants LLC (Newark, DE). 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 William Constad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Constad accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list William Constad 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.
Is William Constad affiliated with any hospitals?
According to CMS data, William Constad is affiliated with Jersey City Medical Center.
When was this NPI record last updated?
The NPPES record for William Constad was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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. William H. Constad, M.D. · NPI 1437267630
Ophthalmology physician in Millburn, New Jersey. Individual provider, active in the CMS NPPES registry since August 28, 2006.
## Identity
- **NPI:** 1437267630 (Entity type: Individual)
- **Enumerated:** August 28, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 25MA03910000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 288 MILLBURN AVE, Millburn, NJ 07041-1622
- **Phone:** (973) 912-9100 · **Fax:** (973) 912-0800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Associated Retinal Consultants LLC (NPI 1164578894, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Pennsylvania, class of 1980
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437267630) · Data from the CMS NPPES public registry.