BARBARA A CAPUTO-FOX OD
NPI 1508878612
Optometrist in Scranton, PA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
52.52/100
CMS Quality Rating
200 MIFFLIN AVE, SCRANTON, PA 18503(570) 342-3145(570) 403-3062 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2026, Dec 1, 2022, Oct 8, 2019 and 1 more (4 updates tracked since 2018).

About Barbara A Caputo-fox Od NPPES

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

BARBARA A CAPUTO-FOX OD (NPI 1508878612) is an individual optometrist in Scranton, Pennsylvania, licensed in Pennsylvania (0EG001066) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Pennsylvania College Of Optometry (1988).

NPPES Registry Identity

NPI1508878612
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBARBARA A CAPUTO-FOXCredential: OD
Location Address200 MIFFLIN AVEScranton, PA 18503-1982
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (667) 354-5528
Fax(570) 403-3062
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1988
Enumeration DateAugust 13, 2006
Last NPPES UpdateMarch 21, 20264 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
NPI 1508878612 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 PA · 0EG001066
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.

200 MIFFLIN AVE, Scranton, PA 18503

Other Identifiers 6

Other410033982Railroad Medicare
Medicaid001259774PA
OtherCA578933High Mark Blue Shield
Other506554Aetna
Other6953Geisinger Health Plan
Other811738First Priority Health

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

Barbara A Caputo-fox 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 ID446395586
PECOS Enrollment IDI20100301000829
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 9

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 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.
239 services201 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.
98 services88 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.
54 services48 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.
37 services37 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.
34 services32 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.
33 services28 patients

Hospital Affiliations CMS Care Compare

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

52.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost25.08

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.

Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503

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 Barbara Caputo-fox's NPI number?

The NPI number for Barbara Caputo-fox is 1508878612. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Barbara Caputo-fox located?

Barbara Caputo-fox practices at 200 Mifflin Ave, Scranton, PA 18503. The listed phone number is (570) 342-3145.

What is Barbara Caputo-fox's specialty?

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

Is Barbara Caputo-fox enrolled in Medicare?

Yes. Barbara Caputo-fox 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 Barbara Caputo-fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Barbara Caputo-fox 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 Barbara Caputo-fox affiliated with any hospitals?

According to CMS data, Barbara Caputo-fox is affiliated with Geisinger-Community Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Caputo-fox was last updated on March 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.