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DR. ALEXANDER RUDOLF GAUDIO M.D.
NPI 1467454728
Ophthalmology in West Hartford, CT

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
78.28/100
CMS Quality Rating
1043 FARMINGTON AVE, WEST HARTFORD, CT 06107(860) 549-2020(860) 549-2025 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 12, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Alexander Rudolf Gaudio M.d. NPPES

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

DR. ALEXANDER RUDOLF GAUDIO M.D. (NPI 1467454728) is an individual ophthalmology provider in West Hartford, Connecticut, licensed in Connecticut (011792) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Yale University School Of Medicine (1963).

NPPES Registry Identity

NPI1467454728
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALEXANDER RUDOLF GAUDIOCredential: M.D.
Location Address1043 FARMINGTON AVEWest Hartford, CT 06107-2110
Mailing Address1043 Farmington AveWest Hartford, CT 06107-2110 · (860) 549-2020 · Fax (860) 549-2025
Phone(860) 549-2020
Fax(860) 549-2025
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1963
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1467454728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 011792
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 011792 (CT)
1043 FARMINGTON AVE, West Hartford, CT 06107
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Secondary Practice Location 1

Location 185 Seymour St, Ste 522Hartford, CT 06106-5524 · Phone (860) 549-2020 · Fax (860) 549-2025

Other Identifiers 2

Medicaid9736841MA
Medicaid004242492CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Alexander Rudolf Gaudio 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.

PECOS PAC ID749173946
PECOS Enrollment IDI20040420000921
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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
124 services57 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.
99 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services44 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.
36 services28 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
33 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.99
Improvement Activities40
Cost67.13

Reported Quality Measures

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
100%70 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 2

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

EYE DISEASE CONSULTANTS, LLC
Ophthalmology
1043 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 549-2020
MATTHEW PHILLIP NICHOLAS M.D.
Ophthalmology (Retina Specialist)
1043 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 549-2020

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 Alexander Gaudio's NPI number?

The NPI number for Alexander Gaudio is 1467454728. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Alexander Gaudio located?

Alexander Gaudio practices at 1043 Farmington Ave, West Hartford, CT 06107. The listed phone number is (860) 549-2020.

What is Alexander Gaudio's specialty?

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

Is Alexander Gaudio enrolled in Medicare?

Yes. Alexander Gaudio 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 Alexander Gaudio accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Alexander Gaudio 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 Alexander Gaudio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.