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DR. DANIELLE KATHRYN PELLETIER O.D.
NPI 1679553713
Optometrist in Portland, ME

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
331 VERANDA ST, PORTLAND, ME 04103(207) 828-2402(207) 828-2425 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Danielle Kathryn Pelletier O.d. NPPES

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

DR. DANIELLE KATHRYN PELLETIER O.D. (NPI 1679553713) is an individual optometrist in Portland, Maine, licensed in Maine (OPT932) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2005).

NPPES Registry Identity

NPI1679553713
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIELLE KATHRYN PELLETIERCredential: O.D.
Location Address331 VERANDA STPortland, ME 04103-5545
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-7850
Phone(207) 828-2402
Fax(207) 828-2425
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2005
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJanuary 14, 2015
✔ NPI 1679553713 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 ME · OPT932
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.
331 VERANDA ST, Portland, ME 04103
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Other Identifiers 1

Medicare PINE400183058ME

Accepted Insurance

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

Dr. Danielle Kathryn Pelletier O.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 ID8123260080
PECOS Enrollment IDI20130806000721
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 7

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.

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.
1,311 services13 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.
112 services112 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
52 services42 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).
41 services32 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.
32 services25 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%163 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%2,397 patients1/55-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 20

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

LINDA K MORRISON MD
Ophthalmology
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
MR. DAVID GHIORSE PA-C
Physician Assistant
331 VERANDA ST, MARTINS POINT HEALTH CARE
PORTLAND, ME 04103
Cumberland County (207) 828-2402
CARLEEN KNIGHT NP
Nurse Practitioner
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
JOSHUA GELFAND DPT
Physical Therapist
331 VERANDA ST, BUILDING 6, ROOM 3311
PORTLAND, ME 04103
Cumberland County (207) 536-0702
JAMES MCILHENNY RIDDLEBERGER M.D.
Family Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
GEORGE NICHOLAS WELCH MD
Internal Medicine (Cardiovascular Disease)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402
DR. DOUGLAS COUPER MD
Internal Medicine
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 791-3796
DR. WILLIAM R WADLAND MD
Family Medicine (Geriatric Medicine)
331 VERANDA ST
PORTLAND, ME 04103
Cumberland County (207) 828-2402

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 Danielle Pelletier's NPI number?

The NPI number for Danielle Pelletier is 1679553713. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Danielle Pelletier located?

Danielle Pelletier practices at 331 Veranda St, Portland, ME 04103. The listed phone number is (207) 828-2402.

What is Danielle Pelletier's specialty?

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

Is Danielle Pelletier enrolled in Medicare?

Yes. Danielle Pelletier 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 Danielle Pelletier accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Danielle Pelletier 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 Danielle Pelletier was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.