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KEI SUGAHARA OD
NPI 1750937462
Optometrist in Wayne, NJ

Active since August 18, 2019PECOS Enrolled
88.33/100
CMS Quality Rating
220 HAMBURG TPKE STE 7, WAYNE, NJ 07470(973) 790-1300 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Aug 17, 2021, Jun 23, 2021 and 5 more (8 updates tracked since 2019).

About Kei Sugahara Od NPPES

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

KEI SUGAHARA OD (NPI 1750937462) is an individual optometrist in Wayne, New Jersey, licensed in Pennsylvania (OEG004092) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750937462
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKEI SUGAHARACredential: OD
Location Address220 HAMBURG TPKE STE 7Wayne, NJ 07470-2132
Mailing AddressPo Box 1404Township Of Washington, NJ 07676-1404
Phone(973) 790-1300
Sole ProprietorNo
Enumeration DateAugust 18, 2019
Last NPPES UpdateDecember 21, 20238 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1750937462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG004092✔ Licensed in NJ · 27OA00697202✔ Licensed in NJ · 27OA0069720✔ Licensed in TX · 9836T✔ Licensed in NY · TUV009331✔ Licensed in NJ · 27OA00697201
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.
220 HAMBURG TPKE STE 7, Wayne, NJ 07470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kei Sugahara Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 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.
44 services40 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost61.13

Other Providers at the Same Location NPPES 4

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

JING JING FENG M.D.
Ophthalmology
220 HAMBURG TPKE STE 7
WAYNE, NJ 07470
Passaic County (973) 790-1300
HIRA JAVEED O.D
Optometrist
220 HAMBURG TPKE STE 7
WAYNE, NJ 07470
Passaic County (973) 790-1300
REFOCUS EYE HEALTH OF NJ, P.C.
Eyewear Supplier
220 HAMBURG TPKE STE 7
WAYNE, NJ 07470
Passaic County (973) 790-1300
DR. GEETANJALI DAVULURI GARG M.D.
Ophthalmology
220 HAMBURG TPKE STE 7
WAYNE, NJ 07470
Passaic County (973) 790-1300

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 Kei Sugahara's NPI number?

The NPI number for Kei Sugahara is 1750937462. It was assigned to this individual provider in the NPPES registry on August 18, 2019.

Where is Kei Sugahara located?

Kei Sugahara practices at 220 Hamburg Tpke Ste 7, Wayne, NJ 07470. The listed phone number is (973) 790-1300.

What is Kei Sugahara's specialty?

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

Is Kei Sugahara enrolled in Medicare?

Yes. Kei Sugahara is registered in the Medicare PECOS enrollment system.

What insurance does Kei Sugahara accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Kei Sugahara 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 Kei Sugahara was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.