Lily Sanfilippo, OD
NPI 1205528734 · Optometrist · Gloucester, MA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lily Sanfilippo, OD is a Optometrist provider in Gloucester, MA (NPI 1205528734).
Provider details
- NPI number
- 1205528734
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5614 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
37 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Complete Exam of Visual System92004 | 37 | $152 |
Typical Medicare-allowed amounts for these services range $152–$152 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,948 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Frequently asked questions
- What is Lily Sanfilippo's NPI number?
- Lily Sanfilippo's National Provider Identifier (NPI) is 1205528734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lily Sanfilippo's specialty?
- Lily Sanfilippo is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Lily Sanfilippo located?
- Lily Sanfilippo's practice location on file with NPPES is 214 Eastern Ave Unit 8, Gloucester, MA 01930-1952.
- What is Lily Sanfilippo's phone number?
- The practice phone number listed in the NPPES registry for Lily Sanfilippo is (978) 865-3276.
- Does Lily Sanfilippo accept Medicare?
- Lily Sanfilippo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lily Sanfilippo's NPI active?
- Yes — Lily Sanfilippo's NPI (1205528734) is active in the NPPES registry as of the last update on 2024-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.