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DR. JAMES JOHN AVERSA O.D.
NPI 1710957998
Optometrist in Hasbrouck Heights, NJ

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
227 1/2 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604(201) 288-1109(201) 288-1589 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James John Aversa O.d. NPPES

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

DR. JAMES JOHN AVERSA O.D. (NPI 1710957998) is an individual optometrist in Hasbrouck Heights, New Jersey, licensed in New Jersey (27OA00457100) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1990).

NPPES Registry Identity

NPI1710957998
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES JOHN AVERSACredential: O.D.
Location Address227 1/2 BOULEVARDHasbrouck Heights, NJ 07604-1901
Mailing Address227 1/2 BoulevardHasbrouck Heights, NJ 07604-1901 · (201) 288-1109 · Fax (201) 288-1589
Phone(201) 288-1109
Fax(201) 288-1589
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1990
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 19, 2008
✔ NPI 1710957998 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 NJ · 27OA00457100
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.

227 1/2 BOULEVARD, Hasbrouck Heights, NJ 07604
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Other Identifiers 2

Medicare ID-Type Unspecified626422NJ
Medicare UPINU02566NJ

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. James John Aversa 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 ID6002930146
PECOS Enrollment IDI20210225001566
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 13

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 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.
180 services117 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.
177 services159 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.
144 services142 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.
108 services74 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.
79 services57 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.
51 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07604 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 James Aversa's NPI number?

The NPI number for James Aversa is 1710957998. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is James Aversa located?

James Aversa practices at 227 1/2 Boulevard, Hasbrouck Heights, NJ 07604. The listed phone number is (201) 288-1109.

What is James Aversa's specialty?

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

Is James Aversa enrolled in Medicare?

Yes. James Aversa 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 James Aversa accept?

Health plans from Providence Health Plan list James Aversa 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 James Aversa was last updated on March 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.