DR. ANTHONY A ZIEJA OD
NPI 1942432323
Optometrist in Gilford, NH

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment
99.57/100
CMS Quality Rating
368 HOUNSELL AVE, GILFORD, NH 03249(603) 528-2606(603) 528-2805 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony A Zieja Od NPPES

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

DR. ANTHONY A ZIEJA OD (NPI 1942432323) is an individual optometrist in Gilford, New Hampshire, licensed in New Hampshire (832) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2009).

NPPES Registry Identity

NPI1942432323
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANTHONY A ZIEJACredential: OD
Location Address368 HOUNSELL AVEGilford, NH 03249-6922
Mailing AddressPo Box 7625Gilford, NH 03247-7625 · (603) 524-2020 · Fax (603) 528-2805
Fax(603) 528-2805
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2009
Enumeration DateAugust 18, 2009
Last NPPES UpdateOctober 6, 2010
NPI 1942432323 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 NH · 832
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.
368 HOUNSELL AVE, Gilford, NH 03249

Other Identifiers 5

Other1942432323NH · Npi
OtherRE7048Group Ptan
Medicaid30357062NH
Other1295875383NH · Group Npi
Medicare PIN001259301NH

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. Anthony A Zieja 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 ID8022154111
PECOS Enrollment IDI20140418000568
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 7

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.
457 services453 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.
203 services138 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).
176 services134 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.
122 services106 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.
101 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.
92 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03249 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

99.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.14
Improvement Activities40

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%67 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.

Ophthalmology
368 HOUNSELL AVE
GILFORD, NH 03249
Eyewear Supplier
368 HOUNSELL AVE
GILFORD, NH 03249
Optometrist
368 HOUNSELL AVE
GILFORD, NH 03249
Ophthalmology
368 HOUNSELL AVE
GILFORD, NH 03249
Ophthalmology
368 HOUNSELL AVE
GILFORD, NH 03249
Ophthalmology
368 HOUNSELL AVE
GILFORD, NH 03249

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 Anthony Zieja's NPI number?

The NPI number for Anthony Zieja is 1942432323. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Anthony Zieja located?

Anthony Zieja practices at 368 Hounsell Ave, Gilford, NH 03249. The listed phone number is (603) 528-2606.

What is Anthony Zieja's specialty?

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

Is Anthony Zieja enrolled in Medicare?

Yes. Anthony Zieja 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 Anthony Zieja accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Anthony Zieja 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 Anthony Zieja was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.