DR. VINCENT J PATALANO II MD
NPI 1386718450
Ophthalmology in Somerville, MA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
236 HIGHLAND AVE, SOMERVILLE, MA 02143(617) 665-4949 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vincent J Patalano Ii Md NPPES

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

DR. VINCENT J PATALANO II MD (NPI 1386718450) is an individual ophthalmology provider in Somerville, Massachusetts, licensed in Massachusetts (76185) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1386718450
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. VINCENT J PATALANO IICredential: MD
Location Address236 HIGHLAND AVESomerville, MA 02143-1495
Mailing Address236 Highland AveSomerville, MA 02143-1495 · (617) 591-4949
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1988
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 29, 2011
NPI 1386718450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 76185
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.

236 HIGHLAND AVE, Somerville, MA 02143

Other Identifiers 4

OtherJ12639MA · Bcbsma
Medicaid3096343MA
Medicare UPINF30844
Medicare PIN001952001MA

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. Vincent J Patalano Ii Md 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 ID749228674
PECOS Enrollment IDI20050421000450
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.
337 services286 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.
69 services67 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.
63 services61 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).
54 services51 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
47 services36 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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Registered Nurse
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner (Family)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Internal Medicine
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Pediatrics
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Registered Nurse (Ambulatory Care)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner (Family)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Counselor (Mental Health)
236 HIGHLAND AVE
SOMERVILLE, MA 02143

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 Vincent Patalano's NPI number?

The NPI number for Vincent Patalano is 1386718450. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Vincent Patalano located?

Vincent Patalano practices at 236 Highland Ave, Somerville, MA 02143. The listed phone number is (617) 665-4949.

What is Vincent Patalano's specialty?

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

Is Vincent Patalano enrolled in Medicare?

Yes. Vincent Patalano 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 Vincent Patalano accept?

Health plans from Anthem Blue Cross and Blue Shield list Vincent Patalano 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.

Is Vincent Patalano affiliated with any hospitals?

According to CMS data, Vincent Patalano is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Vincent Patalano was last updated on November 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.