DR. MARY TERESA BOTELHO OD
NPI 1861913774
Optometrist in New York, NY

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
462 1ST AVE, NEW YORK, NY 10016(212) 562-1394 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Aug 6, 2021, Jun 30, 2017 (3 updates tracked since 2017).

About Dr. Mary Teresa Botelho Od NPPES

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

DR. MARY TERESA BOTELHO OD (NPI 1861913774) is an individual optometrist in New York, New York, licensed in New York (TUV008583) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of State University Of New York - State College Optometry (2017).

NPPES Registry Identity

NPI1861913774
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARY TERESA BOTELHOCredential: OD
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address91 Cannon BlvdStaten Island, NY 10306-2811 · (718) 873-4761
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2017
Enumeration DateJune 30, 2017
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
NPI 1861913774 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 NY · TUV008583
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.
462 1ST AVE, New York, NY 10016

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Mary Teresa Botelho 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.

PECOS PAC ID42584237
PECOS Enrollment IDI20170927001642
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.
76 services74 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.
53 services52 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.
51 services51 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.
44 services38 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.
39 services37 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.
37 services31 patients

Hospital Affiliations CMS Care Compare

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

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

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 Mary Botelho's NPI number?

The NPI number for Mary Botelho is 1861913774. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Mary Botelho located?

Mary Botelho practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-1394.

What is Mary Botelho's specialty?

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

Is Mary Botelho enrolled in Medicare?

Yes. Mary Botelho 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 Mary Botelho accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mary Botelho 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 Mary Botelho affiliated with any hospitals?

According to CMS data, Mary Botelho is affiliated with Bellevue Hospital Center.

When was this NPI record last updated?

The NPPES record for Mary Botelho was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.