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DR. ANTHONY CHARLES MARCIANO JR. O.D.
NPI 1629038914
Optometrist in Prospect, CT

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
60 WATERBURY RD, PROSPECT, CT 06712(203) 758-5555(203) 758-6666 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Charles Marciano Jr. O.d. NPPES

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

DR. ANTHONY CHARLES MARCIANO JR. O.D. (NPI 1629038914) is an individual optometrist in Prospect, Connecticut, licensed in Connecticut (CT2543) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2000).

NPPES Registry Identity

NPI1629038914
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANTHONY CHARLES MARCIANO JR.Credential: O.D.
Location Address60 WATERBURY RDProspect, CT 06712-1250
Mailing Address60 Waterbury RdProspect, CT 06712-1250 · (203) 758-5555 · Fax (203) 758-6666
Phone(203) 758-5555
Fax(203) 758-6666
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2000
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1629038914 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 CT · CT2543
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.
60 WATERBURY RD, Prospect, CT 06712
Open in Google Maps ↗

Other Identifiers 7

Other0900002543CT02CT · Anthem Blue Cross
Medicaid004208890CT
Other2380911CT · Us Healthcare
Other7484149CT · Aetna
Other410043547CT · Railroad Medicare
OtherP2135745CT · Oxford Health Plans
Other2V1329CT · Healthnet

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

Dr. Anthony Charles Marciano Jr. 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 ID4789681826
PECOS Enrollment IDI20061102000015
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 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.
160 services94 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.
116 services112 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
84 services19 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.
69 services58 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.
43 services39 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.
41 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06712 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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%23 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.

Other Providers at the Same Location NPPES 15

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

MR. JASON R. SEVAS LMFT
Marriage & Family Therapist
60 WATERBURY RD, SUITE 2A
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-4958
UNITED DENTAL RESOURCES LLC
Dentist
60 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-0503
LAWRENCE N KLINE OD
Optometrist
60 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-5555
DR. THOMAS M PATAVINO D.C.
Chiropractor
60 WATERBURY RD, SUITE C
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-7250
UNITED HEALTH RESOURCES
Hearing Instrument Specialist
60 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-6834
UNITED AUDIOLOGY RESOURCES LLC
Hearing Instrument Specialist
60 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-0503
DANIEL GRISWOLD GORDON LMFT
Marriage & Family Therapist
60 WATERBURY RD, HERITAGE PROFESSIONAL SUITE 2A
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 560-1158
THORACIC PARK ALTERNATIVE HEALTH
Chiropractor
60 WATERBURY RD, SUITE C
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-7250

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 Anthony Marciano's NPI number?

The NPI number for Anthony Marciano is 1629038914. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Anthony Marciano located?

Anthony Marciano practices at 60 Waterbury Rd, Prospect, CT 06712. The listed phone number is (203) 758-5555.

What is Anthony Marciano's specialty?

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

Is Anthony Marciano enrolled in Medicare?

Yes. Anthony Marciano 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 Anthony Marciano 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 Anthony Marciano 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 Anthony Marciano was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.