DR. ANDREA B. ANTONELLI O.D.
NPI 1902110455
Optometrist in Montclair, NJ

Active since July 27, 2010PECOS EnrolledAccepts Medicare Assignment
77.91/100
CMS Quality Rating
547 VALLEY RD, MONTCLAIR, NJ 07043(973) 783-6446(973) 783-6448 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrea B. Antonelli O.d. NPPES

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

DR. ANDREA B. ANTONELLI O.D. (NPI 1902110455) is an individual optometrist in Montclair, New Jersey, licensed in New York (TUV007489-1) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Berkeley Northeastern State University - College Of Medicine (2009).

NPPES Registry Identity

NPI1902110455
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREA B. ANTONELLICredential: O.D.
Location Address547 VALLEY RDMontclair, NJ 07043-1880
Mailing Address547 Valley RdMontclair, NJ 07043-1880 · (973) 783-6446 · Fax (973) 783-6448
Fax(973) 783-6448
Sole ProprietorNo
Medical School CMSBerkeley Northeastern State University - College Of MedicineGraduated 2009
Enumeration DateJuly 27, 2010
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1902110455 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 · TUV007489-1
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.
547 VALLEY RD, Montclair, NJ 07043

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. Andrea B. Antonelli 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 ID42495160
PECOS Enrollment IDI20150105000570
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 12

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 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.
248 services170 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.
143 services137 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.
98 services98 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.
84 services80 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
77 services51 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
64 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07043 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

77.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost26.37

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.

Eyewear Supplier
547 VALLEY RD
UPPER MONTCLAIR, NJ 07043
Technician/Technologist (Optician)
547 VALLEY RD
MONTCLAIR, NJ 07043
Ophthalmology
547 VALLEY RD
MONTCLAIR, NJ 07043
Optometrist
547 VALLEY RD
MONTCLAIR, NJ 07043
Specialist
547 VALLEY RD
MONTCLAIR, NJ 07043

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 Andrea Antonelli's NPI number?

The NPI number for Andrea Antonelli is 1902110455. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Andrea Antonelli located?

Andrea Antonelli practices at 547 Valley Rd, Montclair, NJ 07043. The listed phone number is (973) 783-6446.

What is Andrea Antonelli's specialty?

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

Is Andrea Antonelli enrolled in Medicare?

Yes. Andrea Antonelli 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 Andrea Antonelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Andrea Antonelli 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 Andrea Antonelli was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.