ESTHER LEE OD
NPI 1194315176
Optometrist in East Orange, NJ

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
90.91/100
CMS Quality Rating
385 TREMONT AVE, EAST ORANGE, NJ 07018(973) 676-1000 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Esther Lee Od NPPES

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

ESTHER LEE OD (NPI 1194315176) is an individual optometrist in East Orange, New Jersey, licensed in New Jersey (27OM00170500) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2020).

NPPES Registry Identity

NPI1194315176
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameESTHER LEECredential: OD
Location Address385 TREMONT AVEEast Orange, NJ 07018-1023
Mailing Address536a Glen AvePalisades Park, NJ 07650-1862
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2020
Enumeration DateJanuary 22, 2021
NPPES CertifiedAugust 26, 2020
NPI 1194315176 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 · 27OM00170500
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.
385 TREMONT AVE, East Orange, NJ 07018

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

Esther Lee 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 ID5799184859
PECOS Enrollment IDI20210524000970
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 9

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.
176 services171 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.
137 services103 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).
52 services52 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.
47 services46 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.
45 services45 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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.

90.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.43
Improvement Activities40
Cost70.77

Reported Quality Measures

Diabetes: Eye Exam
100%329 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
92%65 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,593 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 645 patients
Patients screened: 100% · 645 patients
96%26 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%77 patients
Tobacco Use and Help with Quitting Among Adolescents
90%221 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 672 patients
Patients totalRate: 0% · 672 patients
0%672 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.

Specialist/Technologist Cardiovascular (Vascular Specialist)
385 TREMONT AVE, 112
EAST ORANGE, NJ 07018
Licensed Practical Nurse
385 TREMONT AVE
EAST ORANGE, NJ 07018
Psychologist (Clinical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Nurse Practitioner (Family)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Nurse Practitioner (Adult Health)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Pharmacist
385 TREMONT AVE
EAST ORANGE, NJ 07018
Physician Assistant (Surgical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Department of Veterans Affairs (VA) Pharmacy
385 TREMONT AVE
EAST ORANGE, NJ 07018

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 Esther Lee's NPI number?

The NPI number for Esther Lee is 1194315176. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Esther Lee located?

Esther Lee practices at 385 Tremont Ave, East Orange, NJ 07018. The listed phone number is (973) 676-1000.

What is Esther Lee's specialty?

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

Is Esther Lee enrolled in Medicare?

Yes. Esther Lee 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 Esther Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Esther Lee 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 Esther Lee was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.