NEDDA DEL PLATO
NPI 1710481080
Ophthalmology in Lexington, MA

Active since March 21, 2018PECOS Enrolled
21 WORTHEN RD, LEXINGTON, MA 02421(781) 862-1620 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, Jul 5, 2022, Jun 21, 2018 and 1 more (4 updates tracked since 2018).

About Nedda Del Plato NPPES

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

NEDDA DEL PLATO (NPI 1710481080) is an individual ophthalmology provider in Lexington, Massachusetts, licensed in Massachusetts (291598) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1710481080
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNEDDA DEL PLATO
Location Address21 WORTHEN RDLexington, MA 02421-4835
Mailing Address21 Worthen RdLexington, MA 02421-4835 · (781) 862-1620
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 4, 20244 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1710481080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 291598
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.
21 WORTHEN RD, Lexington, MA 02421

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nedda Del Plato is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800146283
PECOS Enrollment IDI20220712000431
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 Reassignments

2

Medicare enrollment records show Nedda Del Plato reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 clinicians in this Medicare group

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 17

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 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.
830 services821 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).
230 services222 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.
223 services212 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.
185 services179 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.
171 services161 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.
109 services104 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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.

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.

Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Social Worker
21 WORTHEN RD, SUITE 2
LEXINGTON, MA 02421

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 Nedda Del Plato's NPI number?

The NPI number for Nedda Del Plato is 1710481080. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Nedda Del Plato located?

Nedda Del Plato practices at 21 Worthen Rd, Lexington, MA 02421. The listed phone number is (781) 862-1620.

What is Nedda Del Plato's specialty?

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

Is Nedda Del Plato enrolled in Medicare?

Yes. Nedda Del Plato is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nedda Del Plato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nedda Del Plato reassigns Medicare benefits to 2 organizations: Lexington Eye Associates - Bid (Lexington, MA) and Lexington Eye Associates, Inc (Lexington, MA). Each 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 Nedda Del Plato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nedda Del Plato accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Nedda Del Plato 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.

Is Nedda Del Plato affiliated with any hospitals?

According to CMS data, Nedda Del Plato is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Nedda Del Plato was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.