DR. DOUGLAS EDWARD MAZZUCA JR. D.O.
NPI 1720348931
Ophthalmology in Pennsville, NJ

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
89.54/100
CMS Quality Rating
48 N BROADWAY, PENNSVILLE, NJ 08070(856) 678-4800(856) 678-3630 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas Edward Mazzuca Jr. D.o. NPPES

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

DR. DOUGLAS EDWARD MAZZUCA JR. D.O. (NPI 1720348931) is an individual ophthalmology provider in Pennsville, New Jersey, licensed in Pennsylvania (OT014671) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1720348931
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DOUGLAS EDWARD MAZZUCA JR.Credential: D.O.
Location Address48 N BROADWAYPennsville, NJ 08070-1754
Mailing Address48 N BroadwayPennsville, NJ 08070-1754 · (856) 678-4800 · Fax (856) 678-3630
Fax(856) 678-3630
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMay 22, 2012
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1720348931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · OT014671
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.

48 N BROADWAY, Pennsville, NJ 08070

Accepted 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. Douglas Edward Mazzuca Jr. D.o. 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 ID2264726025
PECOS Enrollment IDI20160802002915, I20241114003579
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 20

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, 30-39 minutes 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.
768 services734 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.
650 services408 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.
332 services207 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.
328 services188 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).
214 services214 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.
198 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08070 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.

89.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability92
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 7

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
1 supplier94 claims94 services$50.71 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims26 services$34.68 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier20 claims36 services$44.53 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims16 services$56.13 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier58 claims106 services$58.01 avg. paid by Medicare
Trifocal seg width over 28 mm V2319
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier57 claims114 services$41.38 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.

Ophthalmology
48 N BROADWAY
PENNSVILLE, NJ 08070
Specialist
48 N BROADWAY
PENNSVILLE, NJ 08070
Optometrist
48 N BROADWAY
PENNSVILLE, NJ 08070
Optometrist
48 N BROADWAY
PENNSVILLE, NJ 08070
Ophthalmology
48 N BROADWAY
PENNSVILLE, NJ 08070
Optometrist
48 N BROADWAY
PENNSVILLE, NJ 08070
Optometrist
48 N BROADWAY
PENNSVILLE, NJ 08070

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 Douglas Mazzuca's NPI number?

The NPI number for Douglas Mazzuca is 1720348931. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Douglas Mazzuca located?

Douglas Mazzuca practices at 48 N Broadway, Pennsville, NJ 08070. The listed phone number is (856) 678-4800.

What is Douglas Mazzuca's specialty?

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

Is Douglas Mazzuca enrolled in Medicare?

Yes. Douglas Mazzuca 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 Douglas Mazzuca accept?

Health plans from Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Douglas Mazzuca 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 Douglas Mazzuca was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.