Active NPI 1619902996 Individual Practitioner Male Practitioner

Dr. James John Gaudio , OD

Optometrist • Maspeth, NY

Professional Overview & Biography Verified Profile Summary

Dr. James Gaudio, OD is a registered healthcare professional specializing in Optometrist in Maspeth, NY. Practice services are available at 6911 GRAND AVE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

6911 Grand Ave

Maspeth, NY 113781812

Telephone 7184585055

Fax 7184588453

Associated Practice Facility / Clinic

🏢 Sharp Vision Optical Inc. Facility NPI 1467509786

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maspeth, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Maspeth, NY (3674 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	29	28	$172.41	$41.31
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$120.00	$101.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	53	51	$175.00	$42.89
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$120.00	$104.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$125.00	$123.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$142.35	$140.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	65	57	$175.00	$42.35
92285 Photography of content of eyes	34	29	$100.00	$29.30
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$120.00	$109.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$142.63	$141.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$125.00	$124.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$150.00	$148.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	71	65	$175.00	$44.44
92285 Photography of content of eyes	48	42	$101.56	$29.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$145.00	$145.00
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$120.00	$110.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$125.00	$125.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$146.43	$146.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	47	40	$175.00	$53.87
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$120.00	$89.74
92285 Photography of content of eyes	25	20	$103.00	$23.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$125.00	$124.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	73	61	$175.00	$59.43
92285 Photography of content of eyes	58	47	$102.59	$22.34
99213 Established patient office or other outpatient visit, typically 15 minutes	39	27	$119.49	$86.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$125.00	$123.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	94	83	$175.00	$63.61
92285 Photography of content of eyes	73	61	$103.08	$20.36
99213 Established patient office or other outpatient visit, typically 15 minutes	51	38	$120.00	$79.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$125.00	$119.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$142.95	$116.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	81	75	$175.00	$72.40
92285 Photography of content of eyes	76	69	$100.99	$20.08
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$119.18	$79.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$125.00	$118.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$137.06	$112.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$97.00	$47.68

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY VUT005179

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.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2007

Registered at 6911 GRAND AVE, MASPETH, NY 113781812 (Tel: 7184585055)

📍

Updated Business Mailing Address December 20, 2007

Registered at 6911 GRAND AVE, MASPETH, NY 113781812 (Tel: 7184585055)

👤

Provider Name / Credentials Updated December 20, 2007

Recorded as JAMES GAUDIO, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Optometrist (License #VUT005179 in NY)

🟢

Initial NPI Registration & Enumeration July 12, 2006

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: 1619902996

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: December 20, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6911 Grand Ave

Maspeth, NY 113781812

Phone: 7184585055

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.