THEODORE M VITELLI OD
NPI 1700835030
Optometrist in Chestnut Hill, MA

Q: What is Theodore Vitelli's NPI number?

The NPI number for Theodore Vitelli is 1700835030. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Theodore Vitelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Vitelli was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 05, 2006PECOS EnrolledAccepts Medicare Assignment

291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467(617) 541-6375 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Theodore M Vitelli Od NPPES

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

THEODORE M VITELLI OD (NPI 1700835030) is an individual optometrist in Chestnut Hill, Massachusetts, licensed in Massachusetts (4824) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chestnut Hill, and is a graduate of Ohio State University - College Of Optometry (1997).

NPPES Registry Identity

NPI1700835030

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTHEODORE M VITELLICredential: OD

Location Address291 INDEPENDENCE DRChestnut Hill, MA 02467-3628

Mailing Address65 Sea Street ExtHyannis, MA 02601-5109 · (508) 775-0881

Phone(617) 541-6375

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 1997

Enumeration DateMay 5, 2006

Last NPPES UpdateNovember 9, 2017

✔ NPI 1700835030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MA · 4824✔ Licensed in PA · 0EG000424

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.

291 INDEPENDENCE DR, Chestnut Hill, MA 02467

Open in Google Maps ↗

Secondary Practice Location 1

Location 1291 Independence DrChestnut Hill, MA 02467-3628 · Phone (617) 541-6375

Other Identifiers 4

Medicaid110087501AMA

Medicare PIN001882101MA

Medicare UPINU72891

Medicare PIN004645HMEPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Providence Health Plan.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

Theodore M Vitelli Od 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 ID9133119548

PECOS Enrollment IDI20101214000525

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.

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.

350 services311 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.

121 services120 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).

101 services98 patients

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.

91 services82 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.

73 services68 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.

60 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02467 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%34 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 20

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

JENNA MAXFIELD LICSW

Social Worker (Clinical)