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DR. GARY STEVEN EDELSTEIN O.D.
NPI 1730155987
Optometrist in Maple Shade, NJ

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
38 W MAIN ST, MAPLE SHADE, NJ 08052(856) 779-7595(856) 779-7596 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Steven Edelstein O.d. NPPES

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

DR. GARY STEVEN EDELSTEIN O.D. (NPI 1730155987) is an individual optometrist in Maple Shade, New Jersey, licensed in New Jersey (NJ 4996) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).

NPPES Registry Identity

NPI1730155987
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY STEVEN EDELSTEINCredential: O.D.
Location Address38 W MAIN STMaple Shade, NJ 08052-2432
Mailing Address38 W Main StMaple Shade, NJ 08052-2432 · (856) 779-7595 · Fax (856) 779-7596
Phone(856) 779-7595
Fax(856) 779-7596
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1989
Enumeration DateFebruary 27, 2006
Last NPPES UpdateFebruary 3, 2011
✔ NPI 1730155987 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 · NJ 4996
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.
38 W MAIN ST, Maple Shade, NJ 08052
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Other Identifiers 16

Other5548003NJ · Aetna
Other580720NJ · Bc/bs Pa
Other0402335000NJ · Amerihealth/keystone Hmo
Medicare ID-Type Unspecified580720NJ
Other014929001NJ · Mdcr Dmerc
OtherNJ 4996NJ · Eyemed Vision
Other2K1495NJ · Health Net
Other35237NJ · Davis Vision
Medicaid0604402NJ
Other26010NJ · Americhoice
OtherNJ84996NJ · Vision Benefits America
Other132507NJ · Cole Vision
Medicare UPINT89075
Other26010NJ · Spectera
Other3416405NJ · Cigna
Medicare NSC0149290001

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 and more.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. Gary Steven Edelstein 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 ID6204048960
PECOS Enrollment IDI20101124000221
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

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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08052 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.

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%32 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 2

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

DR. VICKI WASSER EDELSTEIN O.D.
Optometrist
38 W MAIN ST
MAPLE SHADE, NJ 08052
Burlington County (856) 779-7595
WASSER & EDELSTEIN, PA
Optometrist
38 W MAIN ST
MAPLE SHADE, NJ 08052
Burlington County (856) 779-7595

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 Gary Edelstein's NPI number?

The NPI number for Gary Edelstein is 1730155987. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Gary Edelstein located?

Gary Edelstein practices at 38 W Main St, Maple Shade, NJ 08052. The listed phone number is (856) 779-7595.

What is Gary Edelstein's specialty?

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

Is Gary Edelstein enrolled in Medicare?

Yes. Gary Edelstein 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 Gary Edelstein accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Gary Edelstein 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 Gary Edelstein was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.