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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: July 26, 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.

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.

Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
354 services136 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
177 services118 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
87 services86 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
85 services63 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
45 services38 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
26 services11 patients

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 with the weekly NPPES data releases published by CMS.