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DAVID M. TALBOT OD
NPI 1083691992
Optometrist in Toms River, NJ

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
1201 HOOPER AVE, OCEAN COUNTY MALL SPACE 1045-46, TOMS RIVER, NJ 08753(732) 240-2077 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David M. Talbot Od NPPES

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

DAVID M. TALBOT OD (NPI 1083691992) is an individual optometrist in Toms River, New Jersey, licensed in New Jersey (27OA00542800) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1992).

NPPES Registry Identity

NPI1083691992
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID M. TALBOTCredential: OD
Location Address1201 HOOPER AVE, OCEAN COUNTY MALL SPACE 1045-46Toms River, NJ 08753-3330
Mailing Address1201 Hooper Ave, Ocean County Mall Space 1045-46Toms River, NJ 08753-3330 · (732) 240-2077
Phone(732) 240-2077
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1992
Enumeration DateDecember 30, 2005
Last NPPES UpdateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1083691992 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 NJ · 27OA00542800
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.
1201 HOOPER AVE, Toms River, NJ 08753
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

David M. Talbot 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 ID446430870
PECOS Enrollment IDI20110210000485
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 6

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.
203 services201 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
71 services67 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.
57 services42 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.
53 services53 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
28 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 11

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

COLE VISION CORPORATION
Eyewear Supplier
1201 HOOPER AVE, OCEAN COUNTY MALL
TOMS RIVER, NJ 08753
Ocean County (732) 914-5253
TOMS RIVER EYE ASSOCIATES,P.C.
Optometrist
1201 HOOPER AVE, SPACE 1045-1046
TOMS RIVER, NJ 08753
Ocean County (732) 240-2077
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
1201 HOOPER AVE, OCEAN COUNTY MALL STE #1
TOMS RIVER, NJ 08753
Ocean County (732) 914-5253
USV OPTICAL INC.
Eyewear Supplier
1201 HOOPER AVE
TOMS RIVERS, NJ 08753
Ocean County (732) 244-1646
BOSCOVS DEPARTMENT STORE LLC
Eyewear Supplier
1201 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 240-5069
DANIEL & MAX, LLC
Eyewear Supplier
1201 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 240-5069
USV OPTICAL INC.
Eyewear Supplier
1201 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (832) 240-5069
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
1201 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 240-4352

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 David Talbot's NPI number?

The NPI number for David Talbot is 1083691992. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is David Talbot located?

David Talbot practices at 1201 Hooper Ave Ocean County Mall Space 1045-46, Toms River, NJ 08753. The listed phone number is (732) 240-2077.

What is David Talbot's specialty?

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

Is David Talbot enrolled in Medicare?

Yes. David Talbot 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 David Talbot 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 David Talbot 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 David Talbot was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.