DR. ERICA LEIGH VOLKER O.D.
NPI 1881992600
Optometrist in New Haven, CT

Active since March 02, 2011PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
40 TEMPLE ST, SUITE 3A, NEW HAVEN, CT 06510(203) 785-2020 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Erica Leigh Volker O.d. NPPES

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

DR. ERICA LEIGH VOLKER O.D. (NPI 1881992600) is an individual optometrist in New Haven, Connecticut, licensed in Connecticut (002839) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881992600
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERICA LEIGH VOLKERCredential: O.D.
Location Address40 TEMPLE ST, SUITE 3ANew Haven, CT 06510-2715
Mailing Address40 Temple St, Suite 3dNew Haven, CT 06510-2715 · (203) 785-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 2, 2011
Last NPPES UpdateNovember 28, 2017
✔ NPI 1881992600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CT · 002839✔ Licensed in FL · OPC 4557
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.
40 TEMPLE ST, New Haven, CT 06510

Other Identifiers 1

OtherCT002839CT · Connecticut License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erica Leigh Volker O.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 ID7719157593
PECOS Enrollment IDI20110906000175
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.

Medicare Billing Reassignment

Medicare enrollment records show Erica Volker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
94 services63 patients
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.
46 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services20 patients
Fitting of contact lens for treatment of eye surface disease 92071
Fitting of contact lenses for eye surface disease involves a specialist assessing your eye condition and prescribing special lenses. These lenses help protect the eye surface, promote healing, and improve vision. It's a safe, non-invasive treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
Obstetrics & Gynecology
40 TEMPLE ST, SUITE 7A
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 4A
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
40 TEMPLE ST, SUITE 1A
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
40 TEMPLE ST, SUITE 1A
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
40 TEMPLE ST, SUITE 6-C
NEW HAVEN, CT 06510
Internal Medicine (Cardiovascular Disease)
40 TEMPLE ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
40 TEMPLE ST
NEW HAVEN, CT 06510

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 Erica Volker's NPI number?

The NPI number for Erica Volker is 1881992600. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Erica Volker located?

Erica Volker practices at 40 Temple St Suite 3A, New Haven, CT 06510. The listed phone number is (203) 785-2020.

What is Erica Volker's specialty?

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

Is Erica Volker enrolled in Medicare?

Yes. Erica Volker 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.

Which organization bills Medicare for Erica Volker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Volker reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Volker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Volker accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Volker 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 Erica Volker was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.