DR. ALAIN MICHAEL BAUZA M.D.
NPI 1619234077
Ophthalmology in Freehold, NJ

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
79.01/100
CMS Quality Rating
509 STILLWELLS CORNER RD STE E5, FREEHOLD, NJ 07728(732) 431-9333 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Aug 16, 2021, Oct 1, 2018 (3 updates tracked since 2018).

About Dr. Alain Michael Bauza M.d. NPPES

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

DR. ALAIN MICHAEL BAUZA M.D. (NPI 1619234077) is an individual ophthalmology provider in Freehold, New Jersey, licensed in New Jersey (25MA10228900) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619234077
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALAIN MICHAEL BAUZACredential: M.D.
Location Address509 STILLWELLS CORNER RD STE E5Freehold, NJ 07728-2965
Mailing Address509 Stillwells Corner Rd Ste E5Freehold, NJ 07728-2965 · (732) 431-9333
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1619234077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NJ · 25MA10228900✔ Licensed in MA · 256408
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.
509 STILLWELLS CORNER RD STE E5, Freehold, NJ 07728

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alain Michael Bauza 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 ID8729226246
PECOS Enrollment IDI20180109001527
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Alain Bauza reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
509 STILLWELLS CORNER RD STE E5
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
Ophthalmologic Surgery
101 PROSPECT ST
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
Ophthalmology
10 INDUSTRIAL WAY E, SUITE 102
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
Ophthalmology
104 MARKET ST
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Ophthalmology
601 ROUTE 37 W
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Ophthalmology
1255 BROAD ST STE 104
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group
Optometrist
1 NORTH WASHINGTON AVENUE
Bergenfield, NJ 07621
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: New Jersey Eye Center PA
  • Also billed through NPI 1235234055 (New Jersey)
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.
431 services348 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.
293 services181 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.
275 services234 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
174 services161 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
156 services98 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
119 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

79.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost26.66

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%30 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers16 claims16 services$51.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Optometrist
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Ophthalmology
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728
Optometrist
509 STILLWELLS CORNER RD STE E5
FREEHOLD, NJ 07728

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 Alain Bauza's NPI number?

The NPI number for Alain Bauza is 1619234077. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Alain Bauza located?

Alain Bauza practices at 509 Stillwells Corner Rd Ste E5, Freehold, NJ 07728. The listed phone number is (732) 431-9333.

What is Alain Bauza's specialty?

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

Is Alain Bauza enrolled in Medicare?

Yes. Alain Bauza 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.

Which organizations bill Medicare for Alain Bauza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alain Bauza reassigns Medicare benefits to 7 organizations: Freehold Ophthalmology, LLC (Freehold, NJ), Nj Cataract And Laser Institute (Lakewood, NJ), Barry J. Edison D.O. P.C. (Eatontown, NJ), Santamaria Eye Center P A (Perth Amboy, NJ), Ocean Eye Institute PA (Toms River, NJ) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alain Bauza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alain Bauza accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health list Alain Bauza 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 Alain Bauza was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.