JOSEPH P GAMBACORTA OD
NPI 1730142498
Optometrist in Williamsville, NY

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
5500 MAIN ST STE 102, WILLIAMSVILLE, NY 14221(716) 833-2020(716) 833-3854 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph P Gambacorta Od NPPES

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

JOSEPH P GAMBACORTA OD (NPI 1730142498) is an individual optometrist in Williamsville, New York, licensed in New York (TUV004897-2) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1988).

NPPES Registry Identity

NPI1730142498
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSEPH P GAMBACORTACredential: OD
Location Address5500 MAIN ST STE 102Williamsville, NY 14221-6737
Mailing Address3364 Sheridan DrAmherst, NY 14226-1439 · (716) 833-2020 · Fax (716) 833-3854
Fax(716) 833-3854
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1988
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
NPI 1730142498 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 · TUV004897-2
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.
5500 MAIN ST STE 102, Williamsville, NY 14221

Other Identifiers 2

Medicaid01089101NY
Other00010207803NY · Univera

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

Joseph P Gambacorta 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 ID6800915646
PECOS Enrollment IDI20110805000364
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 6

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.
150 services141 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.
68 services65 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.
25 services23 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).
20 services20 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.
19 services19 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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.

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%59 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 6

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

Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221
Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221
Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221
Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221
Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221
Optometrist
5500 MAIN ST STE 102
WILLIAMSVILLE, NY 14221

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 Joseph Gambacorta's NPI number?

The NPI number for Joseph Gambacorta is 1730142498. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Joseph Gambacorta located?

Joseph Gambacorta practices at 5500 Main St Ste 102, Williamsville, NY 14221. The listed phone number is (716) 833-2020.

What is Joseph Gambacorta's specialty?

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

Is Joseph Gambacorta enrolled in Medicare?

Yes. Joseph Gambacorta 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 Joseph Gambacorta 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 Joseph Gambacorta 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 Joseph Gambacorta was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.