DR. ARTHUR C TUTELA II M.D.
NPI 1144257155
Ophthalmology in West Orange, NJ

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
347 MOUNT PLEASANT AVE, SUITE 101, WEST ORANGE, NJ 07052(973) 669-1240(973) 669-8190 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Arthur C Tutela Ii M.d. NPPES

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

DR. ARTHUR C TUTELA II M.D. (NPI 1144257155) is an individual ophthalmology provider in West Orange, New Jersey, licensed in New Jersey (25MA08047200) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1144257155
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ARTHUR C TUTELA IICredential: M.D.
Location Address347 MOUNT PLEASANT AVE, SUITE 101West Orange, NJ 07052-2724
Mailing Address347 Mount Pleasant Ave, Suite 101West Orange, NJ 07052-2724 · (973) 669-1240 · Fax (973) 669-8190
Fax(973) 669-8190
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 26, 2006
Last NPPES UpdateDecember 6, 2012
NPI 1144257155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA08047200
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.
347 MOUNT PLEASANT AVE, West Orange, NJ 07052

Other Identifiers 2

Medicare UPINI55129NJ
Medicare PIN102142VHHNJ

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. Arthur C Tutela Ii M.d. 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 ID9537172960
PECOS Enrollment IDI20060801000116
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 20

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.

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.
646 services418 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.
596 services363 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.
542 services390 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.
336 services295 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
323 services316 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).
314 services276 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%604 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
98%46 patients
Glaucoma Intraocular Pressure Reduction
84%628 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%43 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%285 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,269 patients
Patients totalRate: 0% · 1,269 patients
0%1,269 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 20

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

Nurse Practitioner (Acute Care)
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052
Physician Assistant
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Ophthalmology
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Physician Assistant (Medical)
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052
Nurse Practitioner (Family)
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Dermatology
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Radiology (Vascular & Interventional Radiology)
347 MOUNT PLEASANT AVE, SUITE 100
WEST ORANGE, NJ 07052
Dermatology
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

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 Arthur Tutela's NPI number?

The NPI number for Arthur Tutela is 1144257155. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Arthur Tutela located?

Arthur Tutela practices at 347 Mount Pleasant Ave Suite 101, West Orange, NJ 07052. The listed phone number is (973) 669-1240.

What is Arthur Tutela's specialty?

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

Is Arthur Tutela enrolled in Medicare?

Yes. Arthur Tutela 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 Arthur Tutela accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Arthur Tutela 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 Arthur Tutela was last updated on December 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.