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DR. SEAN PITALE O.D.
NPI 1225289952
Optometrist in Matthews, NC

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
4101 CAMPUS RIDGE RD, MATTHEWS, NC 28105(704) 234-1930(704) 234-1940 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean Pitale O.d. NPPES

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

DR. SEAN PITALE O.D. (NPI 1225289952) is an individual optometrist in Matthews, North Carolina, licensed in South Carolina (1529) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2008).

NPPES Registry Identity

NPI1225289952
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SEAN PITALECredential: O.D.
Location Address4101 CAMPUS RIDGE RDMatthews, NC 28105-5077
Mailing Address4101 Campus Ridge RdMatthews, NC 28105-5077 · (704) 234-1930 · Fax (704) 234-1940
Phone(704) 234-1930
Fax(704) 234-1940
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2008
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1225289952 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 SC · 1529✔ Licensed in PA · OEG002130✔ Licensed in NC · 2166
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.
4101 CAMPUS RIDGE RD, Matthews, NC 28105
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Other Identifiers 4

Medicaid5920824NC
Other0381Medicare Group Number For Employee Dr
Other3063SC · Medicare Group Number
MedicaidD15295SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Sean Pitale O.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 ID42368391
PECOS Enrollment IDI20120816000449
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.

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.
456 services453 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.
401 services401 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).
343 services173 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.
256 services241 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.
234 services117 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.
157 services156 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 8

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

METROLINA EYE ASSOCIATES, PLLC
Eyewear Supplier
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
DR. DOUGLAS BROWN MD
Ophthalmology
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
DR. SUNNY AVINASH BHATHELA OD
Optometrist
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
KIMBERLY CAO OD
Optometrist
4101 CAMPUS RIDGE RD, ST 200
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
DR. LUKE TYLER PETERSON M.D.
Ophthalmology
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (404) 295-6810
DR. CHRISTINE CLAIRE ANNUNZIATA M.D.
Plastic Surgery
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
DR. KARA LYNN DUNKLE OD
Optometrist
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1930
KASEY ASHCRAFT RATLIFF PA-C
Physician Assistant
4101 CAMPUS RIDGE RD
MATTHEWS, NC 28105
Mecklenburg County (704) 234-1943

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 Sean Pitale's NPI number?

The NPI number for Sean Pitale is 1225289952. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Sean Pitale located?

Sean Pitale practices at 4101 Campus Ridge Rd, Matthews, NC 28105. The listed phone number is (704) 234-1930.

What is Sean Pitale's specialty?

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

Is Sean Pitale enrolled in Medicare?

Yes. Sean Pitale 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 Sean Pitale accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Sean Pitale 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 Sean Pitale was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.