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ANTHONY J DEFAZIO OD
NPI 1851332019
Optometrist in Du Bois, PA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
61 BEAVER DR, DU BOIS, PA 15801(814) 371-4020(814) 371-1930 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Anthony J Defazio Od NPPES

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

ANTHONY J DEFAZIO OD (NPI 1851332019) is an individual optometrist in Du Bois, Pennsylvania, licensed in Pennsylvania (OEG000621) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1977).

NPPES Registry Identity

NPI1851332019
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANTHONY J DEFAZIOCredential: OD
Location Address61 BEAVER DRDu Bois, PA 15801-2401
Mailing Address61 Beaver DrDu Bois, PA 15801-2401 · (814) 371-4020 · Fax (814) 371-1930
Phone(814) 371-4020
Fax(814) 371-1930
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1977
Enumeration DateJune 9, 2006
Last NPPES UpdateDecember 4, 2015
✔ NPI 1851332019 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 PA · OEG000621
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.
61 BEAVER DR, Du Bois, PA 15801
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Other Identifiers 6

Medicare PIN053721PA
Medicare UPINT27632PA
OtherDE53721PA · Pa Blue Shield
Medicare PIN410039936PA
Other0366780001PA · Dmerc
Medicare NSC0366780001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Anthony J Defazio 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 ID5597878405
PECOS Enrollment IDI20101118001100
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 7

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 with moderate level of decision making, if using time, 30 minutes or more 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.
111 services101 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.
48 services48 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.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services28 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.
32 services30 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.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier24 claims24 services$48.08 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 supplier19 claims32 services$47.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anthony Defazio's NPI number?

The NPI number for Anthony Defazio is 1851332019. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Anthony Defazio located?

Anthony Defazio practices at 61 Beaver Dr, Du Bois, PA 15801. The listed phone number is (814) 371-4020.

What is Anthony Defazio's specialty?

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

Is Anthony Defazio enrolled in Medicare?

Yes. Anthony Defazio 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 Anthony Defazio accept?

Health plans from Providence Health Plan list Anthony Defazio 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 Anthony Defazio was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.