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DR. ALLISON MARIE BENACCI O.D.
NPI 1609807890
Optometrist in Erie, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
99.18/100
CMS Quality Rating
2640 W 38TH ST, ERIE, PA 16506(814) 835-8258(814) 838-0104 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Allison Marie Benacci O.d. NPPES

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

DR. ALLISON MARIE BENACCI O.D. (NPI 1609807890) is an individual optometrist in Erie, Pennsylvania, licensed in Pennsylvania (OEG000560) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1609807890
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALLISON MARIE BENACCICredential: O.D.
Location Address2640 W 38TH STErie, PA 16506-4524
Mailing Address2640 W 38th StErie, PA 16506-4524 · (814) 835-8258 · Fax (814) 838-0104
Phone(814) 835-8258
Fax(814) 838-0104
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 20, 2009
✔ NPI 1609807890 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 · OEG000560
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.
2640 W 38TH ST, Erie, PA 16506
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN066548XZDPA
Medicaid1013650360002PA
Medicaid1013650360001PA
Medicare UPINU93820PA
Medicare ID-Type Unspecified066548PA

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. Allison Marie Benacci O.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 ID4789604679
PECOS Enrollment IDI20051207000333
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 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.
184 services179 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.
60 services59 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.
53 services47 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).
43 services42 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.
42 services39 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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.

99.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.36
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%88 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,961 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 498 patients
98%498 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%90 patients
Tobacco Use and Help with Quitting Among Adolescents
98%138 patients4/55-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 6

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

GRIFFITH EYE CENTER PC
Ophthalmology
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258
SCOTT ALAN GRIFFITH M.D.
Ophthalmology
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258
ALAN SUTTER OD
Optometrist
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258
DAVID JOHN CAGE O.D.
Optometrist
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258
GRIFFITH EYE CENTER PC
Ophthalmology
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258
REBECCA CAMPBELL OD
Optometrist
2640 W 38TH ST
ERIE, PA 16506
Erie County (814) 835-8258

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 Allison Benacci's NPI number?

The NPI number for Allison Benacci is 1609807890. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Allison Benacci located?

Allison Benacci practices at 2640 W 38th St, Erie, PA 16506. The listed phone number is (814) 835-8258.

What is Allison Benacci's specialty?

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

Is Allison Benacci enrolled in Medicare?

Yes. Allison Benacci 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.

When was this NPI record last updated?

The NPPES record for Allison Benacci was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.