THEODORE M VITELLI OD
NPI 1700835030
Optometrist in Chestnut Hill, MA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 4
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Theodore Vitelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hyannis, MA 02601
- Reassigned Medicare billing, Massachusetts enrollment
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 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.
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.
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
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.
CHESTNUT HILL, MA 02467
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 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.
Where is Theodore Vitelli located?
Theodore Vitelli practices at 291 Independence Dr, Chestnut Hill, MA 02467. The listed phone number is (617) 541-6375.
What is Theodore Vitelli's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Theodore Vitelli enrolled in Medicare?
Yes. Theodore Vitelli 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 Theodore Vitelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Vitelli reassigns Medicare benefits to Vitelli Eye Care, LLC (Hyannis, MA). 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 Theodore Vitelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Vitelli accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and Providence Health Plan list Theodore Vitelli 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 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.
# Theodore M Vitelli, OD · NPI 1700835030
Optometrist provider in Chestnut Hill, Massachusetts. Individual provider, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1700835030 (Entity type: Individual)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4824 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 291 INDEPENDENCE DR, Chestnut Hill, MA 02467-3628
- **Phone:** (617) 541-6375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Vitelli Eye Care, LLC (NPI 1184162604, Hyannis, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 1997
## Record status
- **NPPES last updated:** November 9, 2017
- **Other identifiers:** Medicaid 110087501A (MA); Medicare PIN 001882101 (MA); Medicare UPIN U72891; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700835030) · Data from the CMS NPPES public registry.