MARGARET M FERNICOLA OD
NPI 1992546808
Optometrist in New York, NY

Active since June 04, 2024PECOS Enrolled
33 W 42ND ST, NEW YORK, NY 10036(212) 938-4000 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jun 4, 2024 (2 updates tracked since 2024).

About Margaret M Fernicola Od NPPES

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

MARGARET M FERNICOLA OD (NPI 1992546808) is an individual optometrist in New York, New York, licensed in New York (010011) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992546808
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARGARET M FERNICOLACredential: OD
Location Address33 W 42ND STNew York, NY 10036-8005
Mailing Address115 W 104th St Apt 31New York, NY 10025-4256 · (301) 802-1911
Sole ProprietorNo
Enumeration DateJune 4, 2024
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1992546808 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 · 010011
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.
33 W 42ND ST, New York, NY 10036

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Margaret M Fernicola 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Margaret Fernicola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
33 WEST 42ND STREET, CLINICAL ADMINISTRATION
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 216 clinicians in this Medicare group
Ophthalmology
161 E 32ND ST
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist (Pediatrics)
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036
Optometrist
33 W 42ND ST
NEW YORK, NY 10036

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 Margaret Fernicola's NPI number?

The NPI number for Margaret Fernicola is 1992546808. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Margaret Fernicola located?

Margaret Fernicola practices at 33 W 42nd St, New York, NY 10036. The listed phone number is (212) 938-4000.

What is Margaret Fernicola's specialty?

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

Is Margaret Fernicola enrolled in Medicare?

Yes. Margaret Fernicola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Margaret Fernicola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Fernicola reassigns Medicare benefits to 2 organizations: State Of New York Comptrollers Office (New York, NY) and Curreri Ophthalmology Care LLC (New York, NY). Each 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 Margaret Fernicola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Fernicola accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Margaret Fernicola 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 Margaret Fernicola was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.