Active NPI 1801877584 Individual Practitioner Male Practitioner

Dr. Andrew J Epstein , MD

Ophthalmology • Enfield, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Epstein, MD is a certified Ophthalmology practicing in Enfield, CT. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Epstein delivers high-quality medical care to the local community at 146 HAZARD AVE STE 201.

Dr. Epstein is affiliated with Northern Connecticut Eye Associates, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

146 Hazard Ave Ste 201

Enfield, CT 060824566

Telephone 8607634046

Fax 7607633856

Associated Practice Facility / Clinic

🏢 Northern Connecticut Eye Associates, Llc Facility NPI 1487967832

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Enfield, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 31.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Enfield, CT (363 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Epstein (28 Years) 28 Yrs

Enfield Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	490	318	$279.45	$93.21
92014 Established patient complete exam of visual system	354	350	$382.85	$131.49
92133 Imaging of optic nerve	158	153	$142.00	$38.01
92202 Extended exam of the back part of the eye with optic nerve drawing	150	141	$100.00	$15.79
92134 Imaging of retina	145	128	$145.00	$41.97
92083 Exam of visual field with extended testing	138	116	$250.00	$66.25
92136 Measurement of corneal curvature and depth of eye	126	72	$296.00	$40.50
66984 Removal of cataract with insertion of lens	124	66	$2100.00	$561.22
92020 Examination of cornea and iris using lens device and slit lamp	123	118	$87.00	$28.49
92004 New patient complete exam of visual system	87	87	$457.13	$155.39
66821 Removal of recurring cataract in lens capsule using a laser	81	52	$1075.00	$344.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$325.00	$174.19
76514 Ultrasound scan of cornea to determine thickness	15	15	$35.00	$11.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	603	369	$273.96	$96.04
92014 Established patient complete exam of visual system	416	406	$358.44	$133.96
92202 Extended exam of the back part of the eye with optic nerve drawing	173	166	$100.00	$16.30
92133 Imaging of optic nerve	167	161	$141.83	$38.82
92083 Exam of visual field with extended testing	163	147	$250.00	$66.84
92020 Examination of cornea and iris using lens device and slit lamp	159	153	$86.64	$29.30
92134 Imaging of retina	147	137	$145.00	$43.09
92136 Measurement of corneal curvature and depth of eye	119	72	$295.86	$42.03
66984 Removal of cataract with insertion of lens	113	61	$2118.58	$571.86
66821 Removal of recurring cataract in lens capsule using a laser	83	56	$1068.67	$349.41
92004 New patient complete exam of visual system	59	59	$428.90	$158.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$325.00	$175.43
92250 Photography of the retina	24	24	$260.00	$39.96
76514 Ultrasound scan of cornea to determine thickness	19	19	$35.00	$11.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	684	416	$270.00	$96.67
92014 Established patient complete exam of visual system	487	470	$330.00	$137.08
92250 Photography of the retina	239	236	$260.00	$40.07
92202 Extended exam of the back part of the eye with optic nerve drawing	223	213	$100.00	$16.66
92083 Exam of visual field with extended testing	180	167	$250.00	$68.46
92020 Examination of cornea and iris using lens device and slit lamp	172	165	$85.00	$30.27
92136 Measurement of corneal curvature and depth of eye	127	75	$295.00	$42.05
66984 Removal of cataract with insertion of lens	122	66	$2100.00	$558.84
92004 New patient complete exam of visual system	105	105	$395.00	$161.54
66821 Removal of recurring cataract in lens capsule using a laser	94	62	$1050.00	$361.31
92134 Imaging of retina	90	89	$145.00	$44.03
92133 Imaging of optic nerve	76	75	$140.00	$39.40
76514 Ultrasound scan of cornea to determine thickness	32	32	$35.00	$11.44
92002 New patient problem focused exam of visual system	12	12	$260.00	$93.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	718	420	$270.00	$98.12
92014 Established patient complete exam of visual system	506	490	$330.00	$138.76
92202 Extended exam of the back part of the eye with optic nerve drawing	273	259	$100.00	$17.12
92250 Photography of the retina	201	194	$260.00	$42.85
92083 Exam of visual field with extended testing	178	161	$250.00	$69.27
92020 Examination of cornea and iris using lens device and slit lamp	168	165	$85.00	$30.14
92136 Measurement of corneal curvature and depth of eye	148	85	$295.00	$46.92
66984 Removal of cataract with insertion of lens	146	79	$2128.77	$583.74
92133 Imaging of optic nerve	105	105	$140.00	$40.78
66821 Removal of recurring cataract in lens capsule using a laser	79	51	$1050.00	$358.16
92004 New patient complete exam of visual system	70	70	$395.00	$162.31
92134 Imaging of retina	68	65	$145.00	$44.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$325.00	$180.87
67820 Removal of eyelashes using forceps	23	14	$131.00	$23.22
76514 Ultrasound scan of cornea to determine thickness	19	19	$35.00	$12.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	645	376	$269.24	$96.55
92014 Established patient complete exam of visual system	443	436	$330.00	$137.67
92202 Extended exam of the back part of the eye with optic nerve drawing	214	212	$100.00	$17.25
92250 Photography of the retina	198	196	$259.65	$49.70
92020 Examination of cornea and iris using lens device and slit lamp	152	145	$85.00	$29.49
92083 Exam of visual field with extended testing	149	135	$250.00	$69.34
66984 Removal of cataract with insertion of lens	109	60	$2100.00	$586.60
92136 Measurement of corneal curvature and depth of eye	105	64	$295.00	$52.77
66821 Removal of recurring cataract in lens capsule using a laser	104	65	$1050.00	$365.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$323.10	$178.00
92133 Imaging of optic nerve	62	62	$140.00	$40.80
92134 Imaging of retina	29	29	$144.48	$44.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$210.00	$116.88
76514 Ultrasound scan of cornea to determine thickness	14	14	$35.00	$11.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	867	447	$258.00	$95.97
92014 Established patient complete exam of visual system	494	492	$330.00	$137.52
92226 Examination of eye by ophthalmoscope with retinal drawing	295	175	$78.69	$27.61
92083 Exam of visual field with extended testing	169	157	$250.00	$70.05
66984 Removal of cataract with insertion of lens	152	83	$2033.88	$701.75
92136 Measurement of corneal curvature and depth of eye	144	86	$264.10	$57.80
92020 Examination of cornea and iris using lens device and slit lamp	138	134	$79.34	$29.65
92225 Examination of eye by ophthalmoscope with retinal drawing	128	83	$78.44	$29.83
92250 Photography of the retina	104	104	$250.00	$55.66
92133 Imaging of optic nerve	103	100	$130.53	$40.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$292.00	$177.58
66821 Removal of recurring cataract in lens capsule using a laser	82	53	$982.93	$364.59
92134 Imaging of retina	42	42	$131.07	$44.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$198.00	$117.40
76514 Ultrasound scan of cornea to determine thickness	15	15	$35.00	$13.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	811	482	$229.59	$94.94
92014 Established patient complete exam of visual system	528	521	$330.00	$136.51
92226 Examination of eye by ophthalmoscope with retinal drawing	309	186	$75.00	$26.98
92020 Examination of cornea and iris using lens device and slit lamp	173	168	$74.00	$28.83
92225 Examination of eye by ophthalmoscope with retinal drawing	163	101	$75.00	$29.17
92083 Exam of visual field with extended testing	161	155	$248.91	$70.26
92136 Measurement of corneal curvature and depth of eye	140	86	$245.00	$64.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$292.00	$175.97
66984 Removal of cataract with insertion of lens	134	75	$1959.25	$693.71
92250 Photography of the retina	123	122	$250.00	$62.42
66821 Removal of recurring cataract in lens capsule using a laser	107	72	$925.00	$360.71
92133 Imaging of optic nerve	92	92	$125.00	$40.98
76514 Ultrasound scan of cornea to determine thickness	28	28	$35.00	$16.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$198.00	$116.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,053	556	$227.80	$92.39
92014 Established patient complete exam of visual system	645	639	$329.67	$133.55
92226 Examination of eye by ophthalmoscope with retinal drawing	358	220	$75.00	$26.58
92250 Photography of the retina	211	211	$223.13	$72.15
92225 Examination of eye by ophthalmoscope with retinal drawing	202	129	$75.00	$28.80
92020 Examination of cornea and iris using lens device and slit lamp	198	187	$74.00	$28.82
92083 Exam of visual field with extended testing	178	168	$249.66	$70.27
92136 Measurement of corneal curvature and depth of eye	150	87	$245.00	$70.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$292.00	$174.89
66984 Removal of cataract with insertion of lens	146	82	$1953.15	$690.06
92133 Imaging of optic nerve	83	83	$125.00	$40.74
66821 Removal of recurring cataract in lens capsule using a laser	78	59	$876.92	$357.98
76514 Ultrasound scan of cornea to determine thickness	29	29	$35.00	$15.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$198.00	$116.89
67820 Removal of eyelashes using forceps	15	12	$131.00	$55.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$78.00	$47.14

Medical Specialties & State Licenses

CMS Verified: 2021-06-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CT 41350

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008017679 (CT)

Commercial Insurance / Payer ID Wellcare

544017 (CT)

Commercial Insurance / Payer ID Connecticare

841350 (CT)

Commercial Insurance / Payer ID Rr Medicare

P00106136 (CT)

Commercial Insurance / Payer ID Healthnet

3V3460 (CT)

Commercial Insurance / Payer ID Blue Cross Blue Shield

010041350CT09 (CT)

Commercial Insurance / Payer ID United Healthcare

2335678 (CT)

Commercial Insurance / Payer ID Oxford

P4072909 (CT)

Commercial Insurance / Payer ID Aetna

7953519 (CT)

Commercial Insurance / Payer ID Cigna

3219691 (CT)

Hospital & Practice Group Affiliations

Northern Connecticut Eye Associates, Llc

146 Hazard Ave, Enfield, CT 060824566

Phone: 8607634046

Secondary Practice Locations

146 Hazard Ave, Suite 106

Enfield, CT 060824571

Phone: 8607634046

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Abdul Khaliq , MD

Specialist

NPI 1730133232

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address June 22, 2021

Registered at 146 HAZARD AVE STE 201, ENFIELD, CT 060824566 (Tel: 8607634046)

📍

Updated Practice Location November 07, 2018

Registered at 146 HAZARD AVE STE 201, ENFIELD, CT 060824566 (Tel: 8607634046)

✅

NPI Profile Active December 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2010

Registered at 146 HAZARD AVE, SUITE 106, ENFIELD, CT 060824571 (Tel: 8607634046)

📍

Updated Business Mailing Address December 01, 2010

Registered at 146 HAZARD AVE, SUITE 106, ENFIELD, CT 060824571 (Tel: 8607634046)

👤

Provider Name / Credentials Updated December 01, 2010

Recorded as ANDREW EPSTEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2010

Ophthalmology (License #41350 in CT)

🟢

Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801877584

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 09, 2005

Last Update: June 22, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

146 Hazard Ave Ste 201

Enfield, CT 060824566

Phone: 8607634046

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.