TERESA L STONE OD
NPI 1033213145
Optometrist in Worcester, MA

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
5 NEPONSET ST, WORCESTER, MA 01606(508) 856-9599(508) 854-4998 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teresa L Stone Od NPPES

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

TERESA L STONE OD (NPI 1033213145) is an individual optometrist in Worcester, Massachusetts, licensed in Massachusetts (3931) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1995).

NPPES Registry Identity

NPI1033213145
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTERESA L STONECredential: OD
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset St Fl Street12Worcester, MA 01606-2714 · (978) 345-7398 · Fax (978) 353-0035
Fax(508) 854-4998
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1995
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 26, 2019
NPI 1033213145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MA · 3931
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.

5 NEPONSET ST, Worcester, MA 01606

Other Identifiers 3

Other151572MA · Harvard Pilgrim Health Ca
Medicaid0312584MA
Other793032MA · Tufts Health Plan

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

Teresa L Stone 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 ID4880773639
PECOS Enrollment IDI20080505000412
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 8

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 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.
205 services183 patients
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.
106 services106 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).
56 services54 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
30 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Family Medicine
5 NEPONSET ST
WORCESTER, MA 01606
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5 NEPONSET ST
WORCESTER, MA 01606

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 Teresa Stone's NPI number?

The NPI number for Teresa Stone is 1033213145. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Teresa Stone located?

Teresa Stone practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 856-9599.

What is Teresa Stone's specialty?

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

Is Teresa Stone enrolled in Medicare?

Yes. Teresa Stone 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 Teresa Stone accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Teresa Stone 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 Teresa Stone was last updated on March 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.