DR. TODD OWEN LEVENTHAL M.D.
NPI 1609875251
Ophthalmology in New Providence, NJ

Q: What is Todd Leventhal's NPI number?

The NPI number for Todd Leventhal is 1609875251. It was assigned to this individual provider in the NPPES registry on July 16, 2005.

Q: What is Todd Leventhal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Todd Leventhal was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 16, 2005PECOS EnrolledAccepts Medicare Assignment

99.4/100

CMS Quality Rating

571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974(908) 464-4600(908) 464-4737 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Todd Owen Leventhal M.d. NPPES

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

DR. TODD OWEN LEVENTHAL M.D. (NPI 1609875251) is an individual ophthalmology provider in New Providence, New Jersey, licensed in New Jersey (MA66963) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1992).

NPPES Registry Identity

NPI1609875251

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. TODD OWEN LEVENTHALCredential: M.D.

Location Address571 CENTRAL AVE STE 101New Providence, NJ 07974-1547

Mailing Address571 Central Ave Ste 101New Providence, NJ 07974-1547 · (908) 464-4600 · Fax (908) 464-4737

Phone(908) 464-4600

Fax(908) 464-4737

Sole ProprietorYes

Medical School CMSTufts University School Of MedicineGraduated 1992

Enumeration DateJuly 16, 2005

Last NPPES UpdateNovember 28, 2016

✔ NPI 1609875251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · MA66963

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.

571 CENTRAL AVE STE 101, New Providence, NJ 07974

Open in Google Maps ↗

Other Identifiers 9

Other5349261NJ · Aetna

Other5715857NJ · Ghi

Other0973728NJ · Us Healthcare

OtherP2174979NJ · Oxford

Other7129567-014NJ · Cigna

Medicaid7516801NJ

Other005730ANJNJ · Individual Ptan

Medicare UPING29520NJ

Medicare NSC4378890001NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd Owen Leventhal M.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 ID4688605454

PECOS Enrollment IDI20050822001387

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.

Medicare Billing Reassignment

Medicare enrollment records show Todd Leventhal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Berkeley Heights Eye Group, PA

Same address

Ophthalmology

571 CENTRAL AVE STE 101
New Providence, NJ 07974

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1629272232 (908) 464-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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 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.

910 services854 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.

509 services327 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.

416 services383 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.

262 services250 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).

256 services252 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.

195 services195 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

115 services77 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.

94 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

80 services80 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

37 services37 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

31 services22 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.

28 services28 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

22 services18 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

22 services16 patients

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.

17 services17 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07974 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.

99.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

98.01

Reported Quality Measures

Complications After Cataract Surgery

Lower rates are better for this measure.

1%160 patients

Diabetes: Eye Exam

100%322 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

96%160 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,971 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

94%524 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,167 patients

Patients screened: 100% · 1,167 patients

81%32 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

99%255 patients

Tobacco Use and Help with Quitting Among Adolescents

100%102 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 2,053 patients

Patients totalRate: 0% · 2,053 patients

0%2,053 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ALBERT BARGOUD MD

Ophthalmology

571 CENTRAL AVE STE 101
NEW PROVIDENCE, NJ 07974

Union County (908) 464-4600

BERKELEY HEIGHTS EYE GROUP, PA

Eyewear Supplier

571 CENTRAL AVE STE 101
NEW PROVIDENCE, NJ 07974

Union County (908) 464-4600

BERKELEY HEIGHTS EYE GROUP, PA

Ophthalmology

571 CENTRAL AVE STE 101
NEW PROVIDENCE, NJ 07974

Union County (908) 464-4600

CHARISSA J WONG MD

Ophthalmology

571 CENTRAL AVE STE 101
NEW PROVIDENCE, NJ 07974

Union County (908) 464-4600

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 Todd Leventhal's NPI number?

The NPI number for Todd Leventhal is 1609875251. It was assigned to this individual provider in the NPPES registry on July 16, 2005.

Where is Todd Leventhal located?

Todd Leventhal practices at 571 Central Ave Ste 101, New Providence, NJ 07974. The listed phone number is (908) 464-4600.

What is Todd Leventhal's specialty?

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

Is Todd Leventhal enrolled in Medicare?

Yes. Todd Leventhal 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.

Which organization bills Medicare for Todd Leventhal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Leventhal reassigns Medicare benefits to Berkeley Heights Eye Group, PA (New Providence, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Leventhal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Leventhal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Todd Leventhal 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 Todd Leventhal was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.