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DR. THEODORE PERL M.D.
NPI 1598710378
Ophthalmology in Fairfield, NJ

Active since May 23, 2006PECOS Enrolled
87.52/100
CMS Quality Rating
100 PASSAIC AVE, SUITE 200, FAIRFIELD, NJ 07004(973) 439-3937(973) 439-3944 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Perl M.d. NPPES

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

DR. THEODORE PERL M.D. (NPI 1598710378) is an individual ophthalmology provider in Fairfield, New Jersey, licensed in New Jersey (MAO43248) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598710378
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THEODORE PERLCredential: M.D.
Location Address100 PASSAIC AVE, SUITE 200Fairfield, NJ 07004-3520
Mailing Address100 Passaic Ave, Suite 200Fairfield, NJ 07004-3520 · (973) 439-3937 · Fax (973) 439-3944
Phone(973) 439-3937
Fax(973) 439-3944
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1598710378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · MAO43248
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.
100 PASSAIC AVE, Fairfield, NJ 07004
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedPE166417NJ
Medicare UPINA49085NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Perl M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07004 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.

87.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability92
Improvement Activities40
Cost60.88

Other Providers at the Same Location NPPES

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

MACALUSO COMPASSIONATE CARE FOUNDATION
Voluntary or Charitable
100 PASSAIC AVE, SUITE 245
FAIRFIELD, NJ 07004
Essex County (973) 580-5162

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 Theodore Perl's NPI number?

The NPI number for Theodore Perl is 1598710378. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Theodore Perl located?

Theodore Perl practices at 100 Passaic Ave Suite 200, Fairfield, NJ 07004. The listed phone number is (973) 439-3937.

What is Theodore Perl's specialty?

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

Is Theodore Perl enrolled in Medicare?

Yes. Theodore Perl is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Perl accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Theodore Perl 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 Theodore Perl was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.