DANIEL P TAGLIA M.D.
NPI 1851368674
Ophthalmology in Valparaiso, IN

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
74.5/100
CMS Quality Rating
2101 BURLINGTON BEACH RD., VALPARAISO, IN 46383(219) 462-0309(219) 464-4291 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel P Taglia M.d. NPPES

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

DANIEL P TAGLIA M.D. (NPI 1851368674) is an individual ophthalmology provider in Valparaiso, Indiana, licensed in Indiana (01048573B) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Health - Porter, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1851368674
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDANIEL P TAGLIACredential: M.D.
Location Address2101 BURLINGTON BEACH RD.Valparaiso, IN 46383-0000
Mailing Address2101 Burlington Beach Rd.Valparaiso, IN 46383-0000 · (219) 462-0309 · Fax (219) 464-4291
Fax(219) 464-4291
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1851368674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01048573B
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2101 BURLINGTON BEACH RD., Valparaiso, IN 46383

Other Identifiers 1

Medicaid01048573CIN

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

Daniel P Taglia M.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 ID7517970528
PECOS Enrollment IDI20100728001104
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 18

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.
1,770 services1,718 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
936 services601 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).
684 services669 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.
454 services439 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
450 services295 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.
396 services256 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost15

Referred Medical Equipment & Supplies CMS DME claims 4

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
6 suppliers115 claims115 services$52.46 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
4 suppliers19 claims35 services$27.69 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
5 suppliers28 claims51 services$42.92 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers58 claims109 services$52.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Optometrist
2101 BURLINGTON BEACH RD., SUITE D
VALPARAISO, IN 46383
Optometrist
2101 BURLINGTON BEACH RD.
VALPARAISO, IN 46383
Optometrist
2101 BURLINGTON BEACH RD.
VALPARAISO, IN 46383
Optometrist
2101 BURLINGTON BEACH RD.
VALPARAISO, IN 46383
Ophthalmology
2101 BURLINGTON BEACH RD.
VALPARAISO, IN 46383

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 Daniel Taglia's NPI number?

The NPI number for Daniel Taglia is 1851368674. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Daniel Taglia located?

Daniel Taglia practices at 2101 Burlington Beach Rd., Valparaiso, IN 46383. The listed phone number is (219) 462-0309.

What is Daniel Taglia's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Daniel Taglia enrolled in Medicare?

Yes. Daniel Taglia 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 Daniel Taglia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Providence Health Plan list Daniel Taglia 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.

Is Daniel Taglia affiliated with any hospitals?

According to CMS data, Daniel Taglia is affiliated with Northwest Health - Porter, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Daniel Taglia was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.