DR. CHAD MICHAEL BELANGER OD
NPI 1164427969
Optometrist in Providence, RI

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
62.64/100
CMS Quality Rating
780 N MAIN ST, PROVIDENCE, RI 02904(401) 331-2020(314) 741-4947 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, May 16, 2023 (2 updates tracked since 2023).

About Dr. Chad Michael Belanger Od NPPES

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

DR. CHAD MICHAEL BELANGER OD (NPI 1164427969) is an individual optometrist in Providence, Rhode Island, licensed in Rhode Island (ODTG00763) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Alabama Birmingham - School Of Optometry (2003).

NPPES Registry Identity

NPI1164427969
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHAD MICHAEL BELANGERCredential: OD
Location Address780 N MAIN STProvidence, RI 02904-5706
Mailing Address131 Main StOneida, NY 13421-1645 · (225) 328-2499 · Fax (225) 328-2499
Fax(314) 741-4947
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2003
Enumeration DateJune 17, 2005
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1164427969 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 RI · ODTG00763 Licensed in LA · 1390521T Licensed in NY · TUV008866 Licensed in MA · OPT7131
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.

780 N MAIN ST, Providence, RI 02904

Secondary Practice Locations 3

Location 15801 Main StZachary, LA 70791-4028 · Phone (225) 654-1176 · Fax (225) 654-3047
Location 287 Davis StraitsFalmouth, MA 02540-3909 · Phone (508) 540-3937 · Fax (314) 741-4947
Location 3535 Faunce Corner RdNorth Dartmouth, MA 02747-1242 · Phone (774) 202-6888 · Fax (314) 741-4947

Other Identifiers 1

Medicaid1475963LA

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. Chad Michael Belanger 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 ID1658268305
PECOS Enrollment IDI20180829000847, I20241213001180, I20250903002129
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 11

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
535 services262 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services267 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.
137 services137 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.
123 services120 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.
111 services87 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).
84 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

62.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.67
Improvement Activities40
Cost29.24

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims11 services$47.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
780 N MAIN ST
PROVIDENCE, RI 02904
Optometrist
780 N MAIN ST
PROVIDENCE, RI 02904
Optometrist
780 N MAIN ST
PROVIDENCE, RI 02904
Optometrist
780 N MAIN ST
PROVIDENCE, RI 02904

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 Chad Belanger's NPI number?

The NPI number for Chad Belanger is 1164427969. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Chad Belanger located?

Chad Belanger practices at 780 N Main St, Providence, RI 02904. The listed phone number is (401) 331-2020.

What is Chad Belanger's specialty?

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

Is Chad Belanger enrolled in Medicare?

Yes. Chad Belanger 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 Chad Belanger accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Chad Belanger 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 Chad Belanger was last updated on July 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.