DR. ELLIE K PATOUNAS O.D.
NPI 1811000367
Optometrist in Freehold, NJ

Q: What is Ellie Patounas's NPI number?

The NPI number for Ellie Patounas is 1811000367. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Ellie Patounas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellie Patounas was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

500 W MAIN ST, FREEHOLD, NJ 07728(732) 462-8707(732) 780-3699 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ellie K Patounas O.d. NPPES

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

DR. ELLIE K PATOUNAS O.D. (NPI 1811000367) is an individual optometrist in Freehold, New Jersey, licensed in New Jersey (27OA00610100) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2006).

NPPES Registry Identity

NPI1811000367

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ELLIE K PATOUNASCredential: O.D.

Location Address500 W MAIN STFreehold, NJ 07728-2500

Mailing Address1 Holly DrColumbus, NJ 08022-1603 · (609) 203-6413

Phone(732) 462-8707

Fax(732) 780-3699

Sole ProprietorYes

Medical School CMSState University Of New York - State College OptometryGraduated 2006

Enumeration DateAugust 17, 2006

Last NPPES UpdateNovember 1, 2021

NPPES CertifiedNovember 1, 2021

✔ NPI 1811000367 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 NJ · 27OA00610100✔ Licensed in NY · TUV-007038✔ Licensed in PA · OEG003361

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.

500 W MAIN ST, Freehold, NJ 07728

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Other Identifiers 2

Other7183855NJ · Aetna Ppo

Other6783482NJ · Aetna Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Ellie K Patounas 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 ID6002919735

PECOS Enrollment IDI20080125000371, I20181010000180

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 5

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.

1,315 services957 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.

923 services850 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

762 services761 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.

380 services248 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

267 services267 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.56

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%173 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

100%140 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%5,711 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 4,242 patients

Patients screened: 100% · 4,242 patients

100%23 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

89%310 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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 supplier81 claims81 services$50.77 avg. paid by Medicare

Sphere, single vision, plano to plus or minus 4.00, per lens V2100

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier53 claims100 services$42.20 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 claims21 services$37.61 avg. paid by Medicare

Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier15 claims23 services$53.92 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 supplier40 claims68 services$57.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

DR. MARINA GLATMAN M.D.

Ophthalmology