DR. JOHN D WILGUCKI D.O.
NPI 1457418642
Ophthalmology in Avenel, NJ

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1500 SAINT GEORGES AVE, UNIT D, AVENEL, NJ 07001(732) 388-3030(732) 388-3528 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John D Wilgucki D.o. NPPES

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

DR. JOHN D WILGUCKI D.O. (NPI 1457418642) is an individual ophthalmology provider in Avenel, New Jersey, licensed in New Jersey (MB56000) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of University Of New England, College Of Osteo Medicine (1987).

NPPES Registry Identity

NPI1457418642
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN D WILGUCKICredential: D.O.
Location Address1500 SAINT GEORGES AVE, UNIT DAvenel, NJ 07001-1000
Mailing Address1500 Saint Georges Ave, Unit DAvenel, NJ 07001-1000 · (732) 388-3030 · Fax (732) 388-3528
Fax(732) 388-3528
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1987
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 14, 2007
NPI 1457418642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · MB56000
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.
1500 SAINT GEORGES AVE, Avenel, NJ 07001

Other Identifiers 4

Other123015Aetna Provider Number
Medicare UPINE86536
Medicare PINWI718406NJ
Medicaid5805802NJ

Accepted Insurance

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. John D Wilgucki D.o. 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 ID9436272093
PECOS Enrollment IDI20110526000291
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 6

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.
584 services581 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.
470 services292 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.
79 services79 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.
52 services30 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
29 services29 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07001 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%119 patients5/55-star benchmark: 100%
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
90%367 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
20%70 patients1/55-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.
100%3,231 patients5/55-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
100%601 patients5/55-star benchmark: 100%
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
100%202 patients5/55-star benchmark: 100%
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 20

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

Clinic/Center (Radiology)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Counselor (Mental Health)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Counselor
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Radiology (Diagnostic Radiology)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Radiology (Diagnostic Radiology)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Radiology (Diagnostic Radiology)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Radiology (Diagnostic Radiology)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001
Counselor (Mental Health)
1500 SAINT GEORGES AVE
AVENEL, NJ 07001

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 John Wilgucki's NPI number?

The NPI number for John Wilgucki is 1457418642. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is John Wilgucki located?

John Wilgucki practices at 1500 Saint Georges Ave Unit D, Avenel, NJ 07001. The listed phone number is (732) 388-3030.

What is John Wilgucki's specialty?

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

Is John Wilgucki enrolled in Medicare?

Yes. John Wilgucki 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.

What insurance does John Wilgucki accept?

Health plans from Providence Health Plan list John Wilgucki 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 John Wilgucki affiliated with any hospitals?

According to CMS data, John Wilgucki is affiliated with Robert Wood Johnson University Hospital At Rahway and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for John Wilgucki was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.