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DR. DANIEL JOHN BARUFFI O.D.
NPI 1982916458
Optometrist in Wilmington, DE

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
801 E NEWPORT PIKE, WILMINGTON, DE 19804(609) 616-2393 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel John Baruffi O.d. NPPES

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

DR. DANIEL JOHN BARUFFI O.D. (NPI 1982916458) is an individual optometrist in Wilmington, Delaware, licensed in Delaware (I3-0001372) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1982916458
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIEL JOHN BARUFFICredential: O.D.
Location Address801 E NEWPORT PIKEWilmington, DE 19804-1920
Mailing AddressPo Box 6341Wilmington, DE 19804-0941 · (609) 616-2393
Phone(609) 616-2393
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 13, 2010
Last NPPES UpdateApril 15, 2015
✔ NPI 1982916458 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 DE · I3-0001372✔ Licensed in OH · 5930✔ Licensed in NJ · 27OA00632100✔ Licensed in DE · I4-0000072
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.
801 E NEWPORT PIKE, Wilmington, DE 19804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 and accepts Medicare assignment

Dr. Daniel John Baruffi 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 ID840484903
PECOS Enrollment IDI20150123001543
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 10

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.
331 services331 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.
73 services63 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).
51 services41 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.
51 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19804 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 4

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

DR. JOSEPH G. GOLDBERG OD
Optometrist
801 E NEWPORT PIKE
WILMINGTON, DE 19804
New Castle County (302) 999-1286
DR. STEPHANIE DAY MUSCELLI O.D.
Optometrist
801 E NEWPORT PIKE
WILMINGTON, DE 19804
New Castle County (302) 999-1286
JOSEPH G. GOLDBERG O.D.
Optometrist
801 E NEWPORT PIKE
WILMINGTON, DE 19804
New Castle County (302) 999-1286
WILMINGTON FAMILY EYE CARE LLC
Clinic/Center (Medical Specialty)
801 E NEWPORT PIKE
WILMINGTON, DE 19804
New Castle County (302) 999-1286

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 Daniel Baruffi's NPI number?

The NPI number for Daniel Baruffi is 1982916458. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Daniel Baruffi located?

Daniel Baruffi practices at 801 E Newport Pike, Wilmington, DE 19804. The listed phone number is (609) 616-2393.

What is Daniel Baruffi's specialty?

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

Is Daniel Baruffi enrolled in Medicare?

Yes. Daniel Baruffi 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 Daniel Baruffi 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, Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Daniel Baruffi 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 Daniel Baruffi was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.