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DR. BRADLEY T DOOLEN O.D.
NPI 1720164189
Optometrist in Verona, NJ

Active since October 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
573 BLOOMFIELD AVE, VERONA, NJ 07044(201) 207-6240(201) 207-6240 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley T Doolen O.d. NPPES

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

DR. BRADLEY T DOOLEN O.D. (NPI 1720164189) is an individual optometrist in Verona, New Jersey, licensed in New Jersey (OA005177) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1991).

NPPES Registry Identity

NPI1720164189
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRADLEY T DOOLENCredential: O.D.
Location Address573 BLOOMFIELD AVEVerona, NJ 07044-1818
Mailing Address573 Bloomfield AveVerona, NJ 07044-1818 · (201) 207-6240 · Fax (201) 207-6240
Phone(201) 207-6240
Fax(201) 207-6240
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 1991
Enumeration DateOctober 28, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1720164189 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 NJ · OA005177
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.
573 BLOOMFIELD AVE, Verona, NJ 07044
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Other Identifiers 1

Medicare ID-Type Unspecified421679SG8NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana 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. Bradley T Doolen 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 ID3375515125
PECOS Enrollment IDI20040811000816
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.

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.
157 services118 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
156 services115 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
83 services22 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.
77 services57 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.
46 services34 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 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07044 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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.51
Promoting Interoperability100
Improvement Activities40
Cost69.8

Other Providers at the Same Location NPPES 3

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

BRADLEY T DOOLEN OD LLC
Optometrist
573 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 239-4518
LAUREN C. RISPOLI,MD PA
Ophthalmology
573 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 239-4518
VERONA OPTICIANS
Eyewear Supplier
573 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 857-0011

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 Bradley Doolen's NPI number?

The NPI number for Bradley Doolen is 1720164189. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Bradley Doolen located?

Bradley Doolen practices at 573 Bloomfield Ave, Verona, NJ 07044. The listed phone number is (201) 207-6240.

What is Bradley Doolen's specialty?

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

Is Bradley Doolen enrolled in Medicare?

Yes. Bradley Doolen 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 Bradley Doolen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Bradley Doolen 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 Bradley Doolen was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.