DAVID MARTELLA-WHORTON OD
NPI 1124510870
Optometrist in Bound Brook, NJ

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
225 HAMILTON ST, BOUND BROOK, NJ 08805(908) 685-5900 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Sep 6, 2024 (2 updates tracked since 2024).

About David Martella-whorton Od NPPES

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

DAVID MARTELLA-WHORTON OD (NPI 1124510870) is an individual optometrist in Bound Brook, New Jersey, licensed in New Jersey (27OA00680800) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern California College Of Optometry (2018).

NPPES Registry Identity

NPI1124510870
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID MARTELLA-WHORTONCredential: OD
Location Address225 HAMILTON STBound Brook, NJ 08805-2018
Mailing Address225 Hamilton StBound Brook, NJ 08805-2018 · (908) 685-5900 · Fax (908) 685-5964
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1124510870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NJ · 27OA00680800 Licensed in PA · PENDING
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.
225 HAMILTON ST, Bound Brook, NJ 08805

Secondary Practice Locations 2

Location 112 Penns Trl Ste 154Newtown, PA 18940-3438 · Phone (888) 964-6681 · Fax (888) 662-0859
Location 2103 Carnegie Ctr Ste 300Princeton, NJ 08540-6235 · Phone (888) 964-6681 · Fax (888) 662-0859

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

David Martella-whorton 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 ID2163779380
PECOS Enrollment IDI20180719001178
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 13

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.
589 services589 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
566 services461 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.
323 services220 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.
200 services200 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.
171 services171 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08805 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

Optometrist
225 HAMILTON ST
BOUND BROOK, NJ 08805
Social Worker (Clinical)
225 HAMILTON ST
BOUND BROOK, NJ 08805
Chiropractor
225 HAMILTON ST
BOUND BROOK, NJ 08805
Optometrist
225 HAMILTON ST
BOUND BROOK, NJ 08805

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 Martella-whorton's NPI number?

The NPI number for David Martella-whorton is 1124510870. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is David Martella-whorton located?

David Martella-whorton practices at 225 Hamilton St, Bound Brook, NJ 08805. The listed phone number is (908) 685-5900.

What is David Martella-whorton's specialty?

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

Is David Martella-whorton enrolled in Medicare?

Yes. David Martella-whorton 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 Martella-whorton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list David Martella-whorton 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 Martella-whorton was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.