DR. MICHAEL J IULIANO OD
NPI 1871543306
Optometrist in Toms River, NJ

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1278 HOOPER AVE, TOMS RIVER, NJ 08753(732) 505-0533(732) 505-6572 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael J Iuliano Od NPPES

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

DR. MICHAEL J IULIANO OD (NPI 1871543306) is an individual optometrist in Toms River, New Jersey, licensed in New Jersey (27OAO050100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).

NPPES Registry Identity

NPI1871543306
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL J IULIANOCredential: OD
Location Address1278 HOOPER AVEToms River, NJ 08753-3324
Mailing Address1278 Hooper AveToms River, NJ 08753-3324 · (732) 505-0533 · Fax (732) 505-6572
Fax(732) 505-6572
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1989
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 13, 2013
NPI 1871543306 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 NJ · 27OAO050100
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.

1278 HOOPER AVE, Toms River, NJ 08753

Other Identifiers 43

Other1316804NJ · Aetna
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Other1316806NJ · Aetna
Other223791991NJ · Tax Identification
Other23731NJ · Nva
Other3113639NJ · Aetna
OtherO862771NJ · Cigna
Other1134399520NJ · The Eye Health Group Of Mays Landing Npi
Other204100761NJ · Tax Identification
Other2856008NJ · Aenta
Other311501NJ · Nva
Other3K3132NJ · Healthnet
Other202859NJ · Usfhp
Other22678NJ · Nva
OtherO405050000NJ · Amerihealth
OtherP3664056NJ · Oxford
OtherP3664062NJ · Oxford
Other1093768343NJ · The Eye Health Group Of Totowa Npi
Other1396796546NJ · The Eye Health Group Of Toms River Npi
Other510661700NJ · Tax Identification
Medicare PIN583223V3JNJ
Other043721860MT · Tax Identification
Other1154373819NJ · Eye Health Group Of Springfield Npi
Other1669424495NJ · The Eye Health Group, Llc Npi
Other203095550NJ · Tax Identification
Other3K3030NJ · Healthnet
OtherP469006NJ · Oxford
Medicare PIN583223VN7NJ
Medicare PIN583223PX3NJ
Other1871543306NJ · Npi
Other204100926NJ · Tax Identification
Other223791991NJ · Horizon Bcbs Nj
Other23793NJ · Nva
Other2K1043NJ · Healthnet
OtherP2818971NJ · Oxford
OtherP3664051NJ · Oxford
Medicare UPINT89652NJ
Other1104879451NJ · The Eye Health Group Of Paramus Npi
Other1K8611NJ · Healthnet
Other23545NJ · Nva
Medicare PIN583223NJ
Medicare PIN583223RW2NJ
Medicare PIN583223VJ1NJ

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 J Iuliano 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 ID8729065230
PECOS Enrollment IDI20050104000901
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
936 services719 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.
579 services568 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.
175 services175 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).
71 services54 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.
70 services58 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.
33 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%161 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
19%21 patients1/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
88%24 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,898 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 285 patients
100%285 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%59 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 684 patients
0%684 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 6

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

Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Durable Medical Equipment & Medical Supplies
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871543306, enumerated as an "individual" on May 12, 2006.

The provider is located at 1278 HOOPER AVE TOMS RIVER, NJ 08753 and the phone number is (732) 505-0533.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware, Blue. Please consult your insurance carrier or call the provider to verify.