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

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
396 CROMWELL AVE, UNIT B, ROCKY HILL, CT 06067(860) 529-4261(860) 721-7003 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 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 Rocky Hill, 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 Address396 CROMWELL AVE, UNIT BRocky Hill, CT 06067-1841
Mailing Address396 Cromwell Ave, Unit BRocky Hill, CT 06067-1841 · (860) 529-4261 · Fax (860) 721-7003
Fax(860) 721-7003
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 30, 2011
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)
396 CROMWELL AVE, Rocky Hill, CT 06067

Other Identifiers 2

Medicare UPINU86987CT
Medicare PINU86987CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 06067 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 11

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

Emergency Medicine
396 CROMWELL AVE
ROCKY HILL, CT 06067
Emergency Medicine
396 CROMWELL AVE
ROCKY HILL, CT 06067
Optometrist
396 CROMWELL AVE
ROCKY HILL, CT 06067
Clinic/Center (Urgent Care)
396 CROMWELL AVE
ROCKY HILL, CT 06067
Emergency Medicine
396 CROMWELL AVE
ROCKY HILL, CT 06067
Physician Assistant
396 CROMWELL AVE
ROCKY HILL, CT 06067
Physician Assistant
396 CROMWELL AVE
ROCKY HILL, CT 06067
Physician Assistant
396 CROMWELL AVE
ROCKY HILL, CT 06067

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 396 Cromwell Ave Unit B, Rocky Hill, CT 06067. The listed phone number is (860) 529-4261.

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.

What insurance does Michael Goldstein accept?

Health plans from 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 June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.