1. Home
  2. Directory
  3. Massachusetts
  4. Fall River
  5. Optometrist
  6. NPI Profile

EMILY CARDONE OD
NPI 1912484999
Optometrist in Fall River, MA

Active since July 23, 2018PECOS Enrolled
100/100
CMS Quality Rating
1565 N MAIN ST STE 406, FALL RIVER, MA 02720(508) 730-2020 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Aug 13, 2018, Jul 23, 2018 (3 updates tracked since 2018).

About Emily Cardone Od NPPES

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

EMILY CARDONE OD (NPI 1912484999) is an individual optometrist in Fall River, Massachusetts, licensed in Massachusetts (5448) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912484999
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameEMILY CARDONECredential: OD
Location Address1565 N MAIN ST STE 406Fall River, MA 02720-2972
Mailing Address1565 N Main St Ste 406Fall River, MA 02720-2972 · (508) 730-2020
Phone(508) 730-2020
Sole ProprietorNo
Enumeration DateJuly 23, 2018
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1912484999 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 MA · 5448✔ Licensed in VA · 0618002672
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.
1565 N MAIN ST STE 406, Fall River, MA 02720
Open in Google Maps ↗

Other Names 1

Other Name (5)Emily Cardone Raufi

Accepted Insurance

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

Emily Cardone Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
50 services50 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).
15 services12 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.
14 services14 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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
Cost96.44

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers31 claims31 services$51.72 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers12 claims20 services$37.04 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims21 services$59.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

CAROLINE COUTU OD
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020
PHILBROOK S. MASON O.D.
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020
MONSERRAT ARIAS OD
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020

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 Emily Cardone's NPI number?

The NPI number for Emily Cardone is 1912484999. It was assigned to this individual provider in the NPPES registry on July 23, 2018. The provider is also known as Emily Cardone Raufi.

Where is Emily Cardone located?

Emily Cardone practices at 1565 N Main St Ste 406, Fall River, MA 02720. The listed phone number is (508) 730-2020.

What is Emily Cardone's specialty?

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

Is Emily Cardone enrolled in Medicare?

Yes. Emily Cardone is registered in the Medicare PECOS enrollment system.

What insurance does Emily Cardone accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Emily Cardone 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 Emily Cardone was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.