Active NPI 1225222870 Individual Practitioner Male Practitioner

Dr. Scott Rufolo , OD

Optometrist • Plainfield, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Rufolo, OD is a certified Optometrist practicing in Plainfield, NJ. With approximately 37 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 1989, Dr. Rufolo delivers high-quality medical care to the local community at 160 EAST SECOND ST.

Dr. Rufolo accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

160 East Second St

Plainfield, NJ 070601214

Telephone 9087552101

Fax 9087552889

Associated Practice Facility / Clinic

🏢 Scott Rufolo, O.d., P.c. Facility NPI 1235156662

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Plainfield, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +10.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Plainfield, NJ (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rufolo (37 Years) 37 Yrs

Plainfield Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	35	34	$100.00	$40.86
92004 New patient complete exam of visual system	23	23	$175.00	$164.70
92014 Established patient complete exam of visual system	19	18	$175.00	$139.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	66	65	$100.00	$41.93
92004 New patient complete exam of visual system	34	34	$175.00	$167.63
92014 Established patient complete exam of visual system	34	33	$175.00	$142.01
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$91.07	$30.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	77	72	$100.00	$42.48
92004 New patient complete exam of visual system	57	57	$175.00	$170.73
92014 Established patient complete exam of visual system	40	37	$175.00	$144.50
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$97.37	$31.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	85	82	$100.00	$45.43
92014 Established patient complete exam of visual system	51	43	$175.00	$146.11
92004 New patient complete exam of visual system	50	50	$175.00	$172.88
92020 Examination of cornea and iris using lens device and slit lamp	21	19	$100.00	$31.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	61	59	$99.18	$51.23
92004 New patient complete exam of visual system	53	53	$175.01	$169.97
92020 Examination of cornea and iris using lens device and slit lamp	53	50	$94.81	$31.32
92014 Established patient complete exam of visual system	51	47	$175.00	$143.96
92202 Extended exam of the back part of the eye with optic nerve drawing	19	19	$100.02	$17.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	285	129	$57.89	$30.65
92004 New patient complete exam of visual system	84	84	$175.00	$168.90
92014 Established patient complete exam of visual system	68	57	$175.00	$141.94
92020 Examination of cornea and iris using lens device and slit lamp	62	56	$95.16	$30.74
65222 Removal of foreign body, external eye, cornea with slit lamp examination	13	13	$100.00	$76.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	238	116	$99.58	$28.51
92004 New patient complete exam of visual system	83	83	$175.00	$159.46
92020 Examination of cornea and iris using lens device and slit lamp	46	45	$100.00	$28.16
92014 Established patient complete exam of visual system	41	36	$175.00	$133.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	326	147	$99.69	$27.61
92014 Established patient complete exam of visual system	101	77	$175.00	$127.90
92004 New patient complete exam of visual system	78	78	$175.00	$154.34
92020 Examination of cornea and iris using lens device and slit lamp	58	55	$101.72	$27.59
65222 Removal of foreign body, external eye, cornea with slit lamp examination	33	31	$112.12	$68.94
92012 Established patient problem focused exam of visual system	22	15	$175.00	$89.54
92083 Exam of visual field with extended testing	14	13	$121.43	$67.41
67820 Removal of eyelashes using forceps	14	13	$107.14	$50.61

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NJ OA 005032

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1707604 (NJ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2014

Registered at 160 EAST SECOND ST, PLAINFIELD, NJ 070601214 (Tel: 9087552101)

📍

Updated Business Mailing Address June 16, 2014

Registered at 160 E 2ND ST, PLAINFIELD, NJ 070601214 (Tel: 9087552101)

👤

Provider Name / Credentials Updated June 16, 2014

Recorded as SCOTT RUFOLO, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Optometrist (License #OA 005032 in NJ)

🟢

Initial NPI Registration & Enumeration August 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225222870

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 28, 2007

Last Update: June 16, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

160 E 2nd St

Plainfield, NJ 070601214

Phone: 9087552101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.