MR. THOMAS J. LOPRESTI O.D.
NPI 1861435638
Optometrist in Paramus, NJ

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
523 FOREST AVENUE, PARAMUS, NJ 07652(201) 262-5070(201) 262-5333 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Thomas J. Lopresti O.d. NPPES

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

MR. THOMAS J. LOPRESTI O.D. (NPI 1861435638) is an individual optometrist in Paramus, New Jersey, licensed in New Jersey (OA5203) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1992).

NPPES Registry Identity

NPI1861435638
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. THOMAS J. LOPRESTICredential: O.D.
Location Address523 FOREST AVENUEParamus, NJ 07652
Mailing Address523 Forest AvenueParamus, NJ 07652 · (201) 262-5070 · Fax (206) 262-5333
Fax(201) 262-5333
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1992
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 26, 2016
NPI 1861435638 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 NJ · OA5203 Licensed in NJ · 27OA00520300
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.

523 FOREST AVENUE, Paramus, NJ 07652

Other Identifiers 2

Medicare ID-Type UnspecifiedLO781448
Medicare UPINU56918NJ

Accepted 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

Mr. Thomas J. Lopresti 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 ID6709824949
PECOS Enrollment IDI20050419001103
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 8

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.
664 services549 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.
276 services220 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.
174 services171 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.
83 services83 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).
81 services81 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.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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

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%22 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.

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 Thomas Lopresti's NPI number?

The NPI number for Thomas Lopresti is 1861435638. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Thomas Lopresti located?

Thomas Lopresti practices at 523 Forest Avenue, Paramus, NJ 07652. The listed phone number is (201) 262-5070.

What is Thomas Lopresti's specialty?

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

Is Thomas Lopresti enrolled in Medicare?

Yes. Thomas Lopresti 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 Thomas Lopresti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Thomas Lopresti 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 Thomas Lopresti was last updated on July 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.