KIMBERLY RAUCCI (OD) – Optometrist, NPI 1578030458

KIMBERLY RAUCCI (OD) is a healthcare provider. based in Stratford, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3090 (CT). The NPI Number for KIMBERLY RAUCCI (OD) is 1578030458

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RAUCCI (OD)
NPI
1578030458
Phone
(203) 377-2020
Address
775 MAIN ST
Enumeration Date
29 October 2018
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033075769
Graduation Year
2018 (8 years ago)
PAC ID
3173867744
Group Practice PAC ID
1658713797
Professional Enrollment ID
I20181208000035
Address ID
CT066101648BR107XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for KIMBERLY RAUCCI (OD)

  • 775, Main Street, Stratford, Fairfield County, Connecticut, 06615, United States

    STRATFORD, CT 066157406

    Phone: (203) 377-2020

    Type: Location

  • 114, Corona Drive, Milford Downtown, Milford, New Haven County, Connecticut, 06460, United States

    MILFORD, CT 064603514

    Phone: (203) 606-6062

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $2,261.

Total Amount is formed as General ($2,261) + Research ($0) + Ownership ($0) = $2,261.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($701).

Total Amount

$2,261

General + Research + Ownership

Payments

71

Total payment records

General Amount

$2,261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181208000035IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2423$0
92250Photography of the retina1513$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 06615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658713797View full group profile
NameSpecialtyState
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY RAUCCI (OD)'s NPI?
Yes. KIMBERLY RAUCCI (OD) is listed with NPI 1578030458 in the public NPI dataset.
Does the file indicate KIMBERLY RAUCCI (OD) is practicing under active NPI?
Directory data currently reports KIMBERLY RAUCCI (OD) as active.
What is KIMBERLY RAUCCI (OD)'s specialty?
The listing groups KIMBERLY RAUCCI (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY RAUCCI (OD) on a map?
Expect Stratford, Connecticut as a primary anchor for KIMBERLY RAUCCI (OD) unless the record lists multiple sites.
Why does KIMBERLY RAUCCI (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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