STEPHEN JAMES BELMONTE M.D.
NPI 1942249834
Ophthalmology in Natick, MA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
73.61/100
CMS Quality Rating
67 UNION ST, #405, NATICK, MA 01760(508) 655-5810 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stephen James Belmonte M.d. NPPES

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

STEPHEN JAMES BELMONTE M.D. (NPI 1942249834) is an individual ophthalmology provider in Natick, Massachusetts, licensed in Massachusetts (159566) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Metrowest Medical Center, and is a graduate of Tufts University School Of Medicine (1995).

NPPES Registry Identity

NPI1942249834
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEPHEN JAMES BELMONTECredential: M.D.
Location Address67 UNION ST, #405Natick, MA 01760-7700
Mailing Address67 Union St, #405Natick, MA 01760-7700 · (508) 655-5810
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1995
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 28, 2010
✔ NPI 1942249834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 159566
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.
67 UNION ST, Natick, MA 01760

Other Identifiers 4

Medicare UPINH05687
Medicare ID-Type UnspecifiedA30285
Medicaid3199789MA
OtherJ21479MA · Blue Cross/blue Shield

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

Stephen James Belmonte M.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 ID4183788920
PECOS Enrollment IDI20090123000055
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 13

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 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.
412 services333 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.
367 services352 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.
337 services163 patients
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.
219 services217 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.
89 services81 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.
75 services75 patients

Hospital Affiliations CMS Care Compare

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

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01760 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.

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.

73.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.96
Improvement Activities40
Cost29.43

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
100%85 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%27 patients5/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
1%85 patients
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 20

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

Internal Medicine
67 UNION ST, SUITE # 409
NATICK, MA 01760
Surgery (Vascular Surgery)
67 UNION ST
NATICK, MA 01760
Durable Medical Equipment & Medical Supplies
67 UNION ST, SUITE 106
NATICK, MA 01760
Specialist
67 UNION ST, SUITE 501
NATICK, MA 01760
Nurse Practitioner
67 UNION ST, SUITE 308
NATICK, MA 01760
Social Worker
67 UNION ST
NATICK, MA 01760
Surgery
67 UNION ST, SUITE 203B
NATICK, MA 01760
Specialist/Technologist (Athletic Trainer)
67 UNION ST
NATICK, MA 01760

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 Stephen Belmonte's NPI number?

The NPI number for Stephen Belmonte is 1942249834. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Stephen Belmonte located?

Stephen Belmonte practices at 67 Union St #405, Natick, MA 01760. The listed phone number is (508) 655-5810.

What is Stephen Belmonte's specialty?

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

Is Stephen Belmonte enrolled in Medicare?

Yes. Stephen Belmonte 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 Stephen Belmonte accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephen Belmonte 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 Stephen Belmonte affiliated with any hospitals?

According to CMS data, Stephen Belmonte is affiliated with Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Belmonte was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.