ALBERT A MARCANTONIO OD
NPI 1497040422
Optometrist in Brentwood, NY

Q: What is Albert Marcantonio's NPI number?

The NPI number for Albert Marcantonio is 1497040422. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Q: What is Albert Marcantonio's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

601 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 231-4455(631) 434-1728 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Albert A Marcantonio Od NPPES

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

ALBERT A MARCANTONIO OD (NPI 1497040422) is an individual optometrist in Brentwood, New York, licensed in New York (007687) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2003).

NPPES Registry Identity

NPI1497040422

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameALBERT A MARCANTONIOCredential: OD

Location Address601 SUFFOLK AVEBrentwood, NY 11717-4309

Mailing Address601 Suffolk AveBrentwood, NY 11717-4309 · (631) 231-4455 · Fax (631) 434-1728

Phone(631) 231-4455

Fax(631) 434-1728

Sole ProprietorNo

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2003

Enumeration DateJune 17, 2011

✔ NPI 1497040422 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 NY · 007687

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.

601 SUFFOLK AVE, Brentwood, NY 11717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Albert A Marcantonio Od 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 ID5193903466

PECOS Enrollment IDI20110711000402

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 12

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.

801 services717 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.

717 services662 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.

362 services330 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.

213 services180 patients

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.

198 services195 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

141 services120 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.

123 services123 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.

122 services116 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

73 services69 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

25 services25 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

DR. GERALDINE C. DIAZ D.O.

Anesthesiology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

LONG ISLAND EYE SURGICAL CARE, PC

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

ANTHONY MARTINEZ OD

Optometrist

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (855) 295-4144

SUFFOLK ORAL SURGERY ASSOCIATES LLP

Dentist (Oral and Maxillofacial Surgery)

601 SUFFOLK AVE, SUITE 2
BRENTWOOD, NY 11717

Suffolk County (631) 273-4888

DR. NEIL SCOTT NICHOLS M.D.

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (855) 295-4144

DR. AARON AVNI MD

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

RAJU SARWAL MD

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

DR. CATHERINE CARMELA SCANDIFFIO O.D.

Optometrist

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

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 Albert Marcantonio's NPI number?

The NPI number for Albert Marcantonio is 1497040422. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Albert Marcantonio located?

Albert Marcantonio practices at 601 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 231-4455.

What is Albert Marcantonio's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Albert Marcantonio enrolled in Medicare?

Yes. Albert Marcantonio 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 Albert Marcantonio accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Albert Marcantonio 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 Albert Marcantonio was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.