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DR. NICHOLAS ERNEST SOSTILIO OD
NPI 1710532833
Optometrist in Fairfield, CT

Active since August 06, 2019PECOS EnrolledAccepts Medicare Assignment
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 333-5590(203) 333-6722 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Jun 6, 2022, Aug 6, 2019 (3 updates tracked since 2019).

About Dr. Nicholas Ernest Sostilio Od NPPES

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

DR. NICHOLAS ERNEST SOSTILIO OD (NPI 1710532833) is an individual optometrist in Fairfield, Connecticut, licensed in Connecticut (3.003109) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2019).

NPPES Registry Identity

NPI1710532833
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICHOLAS ERNEST SOSTILIOCredential: OD
Location Address2379 BLACK ROCK TPKEFairfield, CT 06825-3229
Mailing Address2379 Black Rock TpkeFairfield, CT 06825-3229 · (203) 333-5590 · Fax (203) 333-6722
Phone(203) 333-5590
Fax(203) 333-6722
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2019
Enumeration DateAugust 6, 2019
Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1710532833 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 · 3.003109
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.
2379 BLACK ROCK TPKE, Fairfield, CT 06825
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Other Identifiers 1

Medicaid008112906CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Nicholas Ernest Sostilio 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 ID547592834
PECOS Enrollment IDI20191106002460
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 10

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.

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.
221 services205 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.
160 services160 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.
48 services29 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.
47 services35 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.
45 services36 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.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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.

Other Providers at the Same Location NPPES 3

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

KATHRYN BROGAN OD
Optometrist
2379 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-5590
SOSTILIO EYE CARE LLC
Optometrist
2379 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-5590
DR. NELSON LEONARD GOULD O.D.
Optometrist
2379 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-5590

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 Nicholas Sostilio's NPI number?

The NPI number for Nicholas Sostilio is 1710532833. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Nicholas Sostilio located?

Nicholas Sostilio practices at 2379 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 333-5590.

What is Nicholas Sostilio's specialty?

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

Is Nicholas Sostilio enrolled in Medicare?

Yes. Nicholas Sostilio 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 Nicholas Sostilio accept?

Health plans from Providence Health Plan list Nicholas Sostilio 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 Nicholas Sostilio was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.