CLAIRE BIANCHI OD
NPI 1508057563
Optometrist in Schenectady, NY

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1426 ALTAMONT AVE, SCHENECTADY, NY 12303(518) 355-0795(518) 355-1208 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 15, 2017 (3 updates tracked since 2017).

About Claire Bianchi Od NPPES

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

CLAIRE BIANCHI OD (NPI 1508057563) is an individual optometrist in Schenectady, New York, licensed in New York (TUV005208) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of State University Of New York - State College Optometry (1991).

NPPES Registry Identity

NPI1508057563
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCLAIRE BIANCHICredential: OD
Location Address1426 ALTAMONT AVESchenectady, NY 12303-2980
Mailing Address1426 Altamont AveSchenectady, NY 12303-2980 · (518) 355-0795 · Fax (518) 355-1208
Fax(518) 355-1208
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1991
Enumeration DateAugust 6, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1508057563 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 · TUV005208
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.

1426 ALTAMONT AVE, Schenectady, NY 12303

Secondary Practice Location 1

Location 1314 S Manning BlvdAlbany, NY 12208-1708 · Phone (518) 453-2273

Other Identifiers 1

Medicaid0U005208NY

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

Claire Bianchi 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 ID6204922305
PECOS Enrollment IDI20071022000107
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 2

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.
40 services37 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12303 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.87
Improvement Activities40
Cost23.24

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
82%33 patients3/55-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 5

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

Optometrist
1426 ALTAMONT AVE
SCHENECTADY, NY 12303
Optometrist
1426 ALTAMONT AVE
SCHENECTADY, NY 12303
Optometrist
1426 ALTAMONT AVE
SCHENECTADY, NY 12303
Optometrist
1426 ALTAMONT AVE
SCHENECTADY, NY 12303
Optometrist
1426 ALTAMONT AVE
SCHENECTADY, NY 12303

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 Claire Bianchi's NPI number?

The NPI number for Claire Bianchi is 1508057563. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Claire Bianchi located?

Claire Bianchi practices at 1426 Altamont Ave, Schenectady, NY 12303. The listed phone number is (518) 355-0795.

What is Claire Bianchi's specialty?

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

Is Claire Bianchi enrolled in Medicare?

Yes. Claire Bianchi 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 Claire Bianchi 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 and 1 other insurer list Claire Bianchi 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 Claire Bianchi was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.