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DR. JAMES RICHARD VITALE O.D.
NPI 1811910136
Optometrist in Plaistow, NH

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
161 MAIN ST, PLAISTOW, NH 03865(603) 382-8989(603) 382-1151 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Richard Vitale O.d. NPPES

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

DR. JAMES RICHARD VITALE O.D. (NPI 1811910136) is an individual optometrist in Plaistow, New Hampshire, licensed in New Hampshire (NH 367) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1978).

NPPES Registry Identity

NPI1811910136
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES RICHARD VITALECredential: O.D.
Location Address161 MAIN STPlaistow, NH 03865-3020
Mailing Address161 Main StPlaistow, NH 03865-3020 · (603) 382-8989 · Fax (603) 382-1151
Phone(603) 382-8989
Fax(603) 382-1151
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1978
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 26, 2007
✔ NPI 1811910136 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 NH · NH 367
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.

161 MAIN ST, Plaistow, NH 03865
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Other Identifiers 3

Medicare UPINT25709NH
Medicaid80587881NH
Medicare PINUX6048NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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. James Richard Vitale 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 ID8022060433
PECOS Enrollment IDI20050215000497
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 3

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.
123 services123 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
100 services99 patients
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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03865 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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%57 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
94%78 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
95%73 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
4%1,951 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 160 patients
Patients tobacco: 85% · 160 patients
1%160 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
97%29 patients4/55-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 3

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

OCEAN FAMILY EYECARE, PLLC
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (036) 382-8989
JAMES R BELANGER O.D., M.S., F.A.A.O.
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (603) 382-8989
JAMES R VITALE
Optometrist
161 MAIN ST
PLAISTOW, NH 03865
Rockingham County (603) 382-8989

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 James Vitale's NPI number?

The NPI number for James Vitale is 1811910136. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Vitale located?

James Vitale practices at 161 Main St, Plaistow, NH 03865. The listed phone number is (603) 382-8989.

What is James Vitale's specialty?

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

Is James Vitale enrolled in Medicare?

Yes. James Vitale 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 James Vitale accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list James Vitale 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 James Vitale was last updated on November 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.