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JAMES R BELANGER O.D., M.S., F.A.A.O.
NPI 1407024011
Optometrist in Plaistow, NH

Active since February 16, 2008PECOS EnrolledAccepts Medicare Assignment
161 MAIN ST, PLAISTOW, NH 03865(603) 382-8989(603) 382-1151 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Nov 22, 2021 (2 updates tracked since 2021).

About James R Belanger O.d., M.s., F.a.a.o. NPPES

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

JAMES R BELANGER O.D., M.S., F.A.A.O. (NPI 1407024011) is an individual optometrist in Plaistow, New Hampshire, licensed in New Hampshire (0801) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portsmouth, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407024011
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES R BELANGERCredential: O.D., M.S., F.A.A.O.
Location Address161 MAIN STPlaistow, NH 03865-3020
Mailing Address161 Main StPlaistow, NH 03865-3020 · (603) 382-8989 · Fax (603) 382-1151
Phone(603) 382-8989
Fax(603) 382-1151
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 16, 2008
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1407024011 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 NH · 0801
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.
161 MAIN ST, Plaistow, NH 03865
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Secondary Practice Location 1

Location 11 Ayres CirclePortsmouth, NH 03804 · Phone (207) 438-1430

Other Identifiers 1

Medicaid30356809NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

James R Belanger O.d., M.s., F.a.a.o. 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 ID8527138601
PECOS Enrollment IDI20080602000096
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 8

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.
258 services248 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.
254 services253 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.
116 services88 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.
53 services53 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services28 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.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03865 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 3

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

OCEAN FAMILY EYECARE, PLLC
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (036) 382-8989
JAMES R VITALE
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (603) 382-8989
DR. JAMES RICHARD VITALE O.D.
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (603) 382-8989

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 James Belanger's NPI number?

The NPI number for James Belanger is 1407024011. It was assigned to this individual provider in the NPPES registry on February 16, 2008.

Where is James Belanger located?

James Belanger practices at 161 Main St, Plaistow, NH 03865. The listed phone number is (603) 382-8989.

What is James Belanger's specialty?

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

Is James Belanger enrolled in Medicare?

Yes. James 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 James Belanger accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list James 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 James Belanger was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.