Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL PHILIP GOLDSTEIN OD
NPI 1013003615
Optometrist in Manchester, CT

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
732 MAIN ST, MANCHESTER, CT 06040(860) 649-5177(860) 643-4901 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Philip Goldstein Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL PHILIP GOLDSTEIN OD (NPI 1013003615) is an individual optometrist in Manchester, Connecticut, licensed in Connecticut (002545) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013003615
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL PHILIP GOLDSTEINCredential: OD
Location Address732 MAIN STManchester, CT 06040-5106
Mailing Address732 Main StManchester, CT 06040-5106 · (860) 649-5177 · Fax (860) 643-4901
Fax(860) 643-4901
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1013003615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · 002545
Definition
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 002545 (CT)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 002545 (CT)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 002545 (CT)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 002545 (CT)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 002545 (CT)
732 MAIN ST, Manchester, CT 06040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Philip Goldstein Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517022726
PECOS Enrollment IDI20090220000535
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Goldstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
79 WAWECUS ST, SUITE 105
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Norwich Ophthalmology Group PC
  • 8 clinicians in this Medicare group
Ophthalmology
87 GRANDVIEW AVE
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Refocus Eye Health Of Central Connecticut PC
  • 37 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
262 services259 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
109 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services62 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
68 services64 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
61 services57 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.22

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
732 MAIN ST
MANCHESTER, CT 06040
Eyewear Supplier
732 MAIN ST
MANCHESTER, CT 06040
Ophthalmology
732 MAIN ST
MANCHESTER, CT 06040
Ophthalmology
732 MAIN ST
MANCHESTER, CT 06040
Ophthalmology
732 MAIN ST
MANCHESTER, CT 06040
Optometrist
732 MAIN ST
MANCHESTER, CT 06040
Ophthalmology
732 MAIN ST
MANCHESTER, CT 06040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Goldstein's NPI number?

The NPI number for Michael Goldstein is 1013003615. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michael Goldstein located?

Michael Goldstein practices at 732 Main St, Manchester, CT 06040. The listed phone number is (860) 649-5177.

What is Michael Goldstein's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Goldstein enrolled in Medicare?

Yes. Michael Goldstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Goldstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Goldstein reassigns Medicare benefits to 2 organizations: Norwich Ophthalmology Group, P.C. (Norwich, CT) and Refocus Eye Health Of Central Connecticut, P.C. (Waterbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Goldstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Goldstein accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Goldstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Goldstein was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.