ROBERT WERTHEIMER MD
NPI 1972692598
Ophthalmology in West Caldwell, NJ

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
195 FAIRFIELD AVE, SUITE 4B, WEST CALDWELL, NJ 07006(973) 228-4990(973) 228-4464 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Wertheimer Md NPPES

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

ROBERT WERTHEIMER MD (NPI 1972692598) is an individual ophthalmology provider in West Caldwell, New Jersey, licensed in New Jersey (MA69761) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1992).

NPPES Registry Identity

NPI1972692598
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT WERTHEIMERCredential: MD
Location Address195 FAIRFIELD AVE, SUITE 4BWest Caldwell, NJ 07006-6424
Mailing Address195 Fairfield Ave, Suite 4bWest Caldwell, NJ 07006-6424 · (973) 228-4990 · Fax (973) 228-4464
Fax(973) 228-4464
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1992
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 6, 2010
NPI 1972692598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · MA69761
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.

195 FAIRFIELD AVE, West Caldwell, NJ 07006

Other Identifiers 2

Medicare ID-Type Unspecified065702
Medicare UPING82059

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

Robert Wertheimer Md 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 ID4981763828
PECOS Enrollment IDI20100830000472
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.

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.
1,092 services896 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.
827 services788 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.
804 services580 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.
787 services742 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.
245 services210 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
170 services152 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07006 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 5

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

Clinic/Center (Dental)
195 FAIRFIELD AVE, SUITE 3A
WEST CALDWELL, NJ 07006
Ophthalmology
195 FAIRFIELD AVE, SUITE 4B
WEST CALDWELL, NJ 07006
Optometrist
195 FAIRFIELD AVE, SUITE 4B
WEST CALDWELL, NJ 07006
Dentist
195 FAIRFIELD AVE, SUITE #3A
WEST CALDWELL, NJ 07006
Dentist (General Practice)
195 FAIRFIELD AVE, SUITE 3A
WEST CALDWELL, NJ 07006

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 Robert Wertheimer's NPI number?

The NPI number for Robert Wertheimer is 1972692598. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Robert Wertheimer located?

Robert Wertheimer practices at 195 Fairfield Ave Suite 4B, West Caldwell, NJ 07006. The listed phone number is (973) 228-4990.

What is Robert Wertheimer's specialty?

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

Is Robert Wertheimer enrolled in Medicare?

Yes. Robert Wertheimer 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 Robert Wertheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Robert Wertheimer 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 Robert Wertheimer was last updated on July 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.