DR. ELIZABETH O'TOOLE TEGINS MD
NPI 1063674315
Ophthalmology in New Brunswick, NJ

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
99.66/100
CMS Quality Rating
10 PLUM ST STE 600, NEW BRUNSWICK, NJ 08901(732) 220-1600(732) 466-9661 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth O'toole Tegins Md NPPES

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

DR. ELIZABETH O'TOOLE TEGINS MD (NPI 1063674315) is an individual ophthalmology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10619500) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of State University Of New York Downstate Medical Center (2007).

NPPES Registry Identity

NPI1063674315
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ELIZABETH O'TOOLE TEGINSCredential: MD
Location Address10 PLUM ST STE 600New Brunswick, NJ 08901-2065
Mailing Address420 Mountain Ave Fl 4New Providence, NJ 07974-2736 · (908) 458-8333 · Fax (908) 967-5488
Fax(732) 466-9661
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2007
Enumeration DateJune 27, 2008
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
NPI 1063674315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NJ · 25MA10619500 Licensed in PA · MD468906
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
10 PLUM ST STE 600, New Brunswick, NJ 08901

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. Elizabeth O'toole Tegins Md 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 ID6901061829
PECOS Enrollment IDI20190801002736
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 18

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
28,806 services110 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.
2,212 services821 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,617 services381 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.
1,527 services781 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
994 services301 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
572 services103 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

99.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.6
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
98%818 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
100%631 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%137 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
98%547 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%7,103 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%366 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,388 patients
Patients screened: 100% · 2,388 patients
97%129 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%196 patients
Tobacco Use and Help with Quitting Among Adolescents
100%21 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,800 patients
Patients totalRate: 0% · 1,800 patients
0%1,800 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Ophthalmology
10 PLUM ST STE 600
NEW BRUNSWICK, NJ 08901
Ophthalmology (Retina Specialist)
10 PLUM ST STE 600
NEW BRUNSWICK, NJ 08901
Ophthalmology (Retina Specialist)
10 PLUM ST STE 600
NEW BRUNSWICK, NJ 08901
Ophthalmology
10 PLUM ST STE 600
NEW BRUNSWICK, NJ 08901
Ophthalmology
10 PLUM ST STE 600
NEW BRUNSWICK, NJ 08901

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 Elizabeth Tegins's NPI number?

The NPI number for Elizabeth Tegins is 1063674315. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Elizabeth Tegins located?

Elizabeth Tegins practices at 10 Plum St Ste 600, New Brunswick, NJ 08901. The listed phone number is (732) 220-1600.

What is Elizabeth Tegins's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Elizabeth Tegins enrolled in Medicare?

Yes. Elizabeth Tegins 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 Elizabeth Tegins accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elizabeth Tegins 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.

Is Elizabeth Tegins affiliated with any hospitals?

According to CMS data, Elizabeth Tegins is affiliated with University Medical Center Of Princeton At Plainsboro and Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Tegins was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.