2026 NPPES data Optometrist NPI 1962418509
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JOSEPH CERCONE

Optometrist in LYONS, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
64
Medicare Part D claims · 17 beneficiaries · Optometrist avg: 257
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JOSEPH CERCONE is a Optometrist ([object Object]) practicing in LYONS, New Jersey with a Medicare Part D prescribing footprint of 64 claims across 17 beneficiaries — 28% brand-name prescribing .

What stands out: JOSEPH CERCONE filed 64 Medicare Part D claims in 2023 across LYONS, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOSEPH CERCONE at a glance

Quality data not reported

NPI registry status

Active

Issued 08/01/2006

NPI 1962418509

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

64 75% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in New Jersey

How Optometrist compares to other specialties among New Jersey providers

New Jersey providers

Optometrist share within New Jersey

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOSEPH CERCONE is a Optometrist provider practicing in LYONS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1962418509. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH CERCONE appears in the CMS NPPES registry as a Optometrist provider at 151 KNOLLCROFT RD, LYONS, NJ, 07939, with a listed phone of (908) 647-0180. NPI 1962418509 was issued on 08/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CERCONE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 64 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $12K in drug spend, split 28% brand-name and 72% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

151 KNOLLCROFT RD
LYONS, NJ 07939

Provider Details

NPI 1962418509
Specialty Optometrist
Gender Male
NPI Issued 08/01/2006

Brand vs generic prescribing mix · Above average

JOSEPH CERCONE — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 64 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

64
Total Claims
$12K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
133
Total Day Supply
3,888
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$10K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
0.76
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
20
Timolol Maleate
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Optometrist Overview

How JOSEPH CERCONE fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

JOSEPH CERCONE's 64 claims are below the specialty average of 257.

Nearby Optometrist Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as CERCONE.

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH CERCONE's specialty?
JOSEPH CERCONE specializes in Optometrist and practices in LYONS, New Jersey.
How much does JOSEPH CERCONE prescribe under Medicare Part D?
In 2023, JOSEPH CERCONE wrote 64 Medicare Part D claims totaling $12K in drug costs for 17 beneficiaries.
Where is JOSEPH CERCONE located?
JOSEPH CERCONE is located at 151 KNOLLCROFT RD, LYONS, NJ, 07939. Phone: (908) 647-0180.
What is JOSEPH CERCONE's NPI number?
JOSEPH CERCONE's National Provider Identifier (NPI) is 1962418509, issued on 08/01/2006.
Does JOSEPH CERCONE prescribe more brand-name or generic drugs?
JOSEPH CERCONE's prescribing is 28% brand-name and 72% generic drugs by claim count, with $10K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does JOSEPH CERCONE prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH CERCONE's most frequently prescribed drugs include Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH CERCONE accept Medicare?
JOSEPH CERCONE appears in CMS Medicare data with 64 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH CERCONE's credentials?
JOSEPH CERCONE's NPI is 1962418509. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology