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DR. NICHOLAS F. DARBENZIO O.D.
NPI 1871507590
Optometrist - Corneal and Contact Management in Dupont, PA

Active since July 28, 2006PECOS Enrolled

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas F. Darbenzio O.d. NPPES

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

DR. NICHOLAS F. DARBENZIO O.D. (NPI 1871507590) is an individual corneal and contact management provider in Dupont, Pennsylvania, licensed in Pennsylvania (OEG000120) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1871507590
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. NICHOLAS F. DARBENZIOCredential: O.D.
Location Address345 MAIN STDupont, PA 18641-1448
Mailing Address406 Penn AveDupont, PA 18641-2020 · (570) 602-9607
Phone(570) 602-9607
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 7, 2016
✔ NPI 1871507590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in PA · OEG000120
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

345 MAIN ST, Dupont, PA 18641
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Other Identifiers 1

Medicare ID-Type Unspecified029590ND2PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Nicholas F. Darbenzio O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870577554
PECOS Enrollment IDI20040618000123
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 4

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.
138 services99 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.
112 services107 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.
77 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18641 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.

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 Nicholas Darbenzio's NPI number?

The NPI number for Nicholas Darbenzio is 1871507590. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Nicholas Darbenzio located?

Nicholas Darbenzio practices at 345 Main St, Dupont, PA 18641. The listed phone number is (570) 602-9607.

What is Nicholas Darbenzio's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Nicholas Darbenzio enrolled in Medicare?

Yes. Nicholas Darbenzio is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Darbenzio 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 and 4 other insurers list Nicholas Darbenzio 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 Nicholas Darbenzio was last updated on July 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.