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NINA GELFOND OD
NPI 1679568018
Optometrist in Buffalo, NY

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
90.43/100
CMS Quality Rating
4590 MAIN ST, BUFFALO, NY 14226(716) 893-3535(716) 896-2318 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nina Gelfond Od NPPES

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

NINA GELFOND OD (NPI 1679568018) is an individual optometrist in Buffalo, New York, licensed in New York (TUV006325) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2000).

NPPES Registry Identity

NPI1679568018
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNINA GELFONDCredential: OD
Location Address4590 MAIN STBuffalo, NY 14226-4548
Mailing Address3095 Harlem RdCheektowaga, NY 14225-2500 · (716) 896-8831 · Fax (716) 896-2318
Phone(716) 893-3535
Fax(716) 896-2318
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2000
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 19, 2015
✔ NPI 1679568018 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 · TUV006325
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.
4590 MAIN ST, Buffalo, NY 14226
Open in Google Maps ↗

Other Identifiers 8

Other7512500MD · Aetna
Other2493649MD · United Hc
Other882602-01MD · Bcbs
Medicare PIN693LN654MD
OtherS017-0013MD · Blue Choice
Medicare NSC4091880004MD
Other1284085MD · Aetna
Medicare UPINU83868MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

Nina Gelfond 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 ID749238723
PECOS Enrollment IDI20050106000313
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 7

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.
196 services182 patients
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.
79 services67 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.
39 services34 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.
36 services35 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).
31 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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.

90.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability79
Improvement Activities40
Cost76.36

Other Providers at the Same Location NPPES 2

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

AZURE AESTHETICS AND OCULOFACIAL PLASTIC SURGERY PC
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4590 MAIN ST
SNYDER, NY 14226
Erie County (585) 319-2284
DANIEL P. SCHAEFER MD PC
Ophthalmology
4590 MAIN ST
SNYDER, NY 14226
Erie County (716) 839-3535

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 Nina Gelfond's NPI number?

The NPI number for Nina Gelfond is 1679568018. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Nina Gelfond located?

Nina Gelfond practices at 4590 Main St, Buffalo, NY 14226. The listed phone number is (716) 893-3535.

What is Nina Gelfond's specialty?

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

Is Nina Gelfond enrolled in Medicare?

Yes. Nina Gelfond 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 Nina Gelfond accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nina Gelfond 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 Nina Gelfond was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.