DR. MICHAEL LAMONICA OD
NPI 1861471609
Optometrist in Babylon, NY

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
500 W MAIN ST, #210, BABYLON, NY 11702(631) 957-3355(631) 957-4378 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Lamonica Od NPPES

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

DR. MICHAEL LAMONICA OD (NPI 1861471609) is an individual optometrist in Babylon, New York, licensed in New York (VUT005007-1) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of State University Of New York - State College Optometry (1989).

NPPES Registry Identity

NPI1861471609
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL LAMONICACredential: OD
Location Address500 W MAIN ST, #210Babylon, NY 11702-3027
Mailing Address500 W Main StBabylon, NY 11702-3027 · (631) 957-3355 · Fax (631) 957-4378
Fax(631) 957-4378
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1989
Enumeration DateJanuary 11, 2006
Last NPPES UpdateApril 16, 2014
NPI 1861471609 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 NY · VUT005007-1
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, Babylon, NY 11702

Other Identifiers 1

Medicare UPINU44766NY

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

Dr. Michael Lamonica 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 ID3870584493
PECOS Enrollment IDI20040521000940
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 15

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.
737 services676 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.
542 services382 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.
468 services438 patients
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.
264 services186 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).
243 services234 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.
156 services138 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11702 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Pediatrics (Pediatric Cardiology)
500 W MAIN ST, SUITE 204
BABYLON, NY 11702
Acupuncturist
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Anesthesiology (Pain Medicine)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Family Medicine
500 W MAIN ST
BABYLON, NY 11702
Pain Medicine (Interventional Pain Medicine)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Pain Medicine (Interventional Pain Medicine)
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Physical Medicine & Rehabilitation
500 W MAIN ST, SUITE 116
BABYLON, NY 11702
Clinical Neuropsychologist
500 W MAIN ST, SUITE 208
BABYLON, NY 11702

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 Michael Lamonica's NPI number?

The NPI number for Michael Lamonica is 1861471609. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Michael Lamonica located?

Michael Lamonica practices at 500 W Main St #210, Babylon, NY 11702. The listed phone number is (631) 957-3355.

What is Michael Lamonica's specialty?

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

Is Michael Lamonica enrolled in Medicare?

Yes. Michael Lamonica 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 Michael Lamonica accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Lamonica 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 Michael Lamonica affiliated with any hospitals?

According to CMS data, Michael Lamonica is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Lamonica was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.