Active NPI 1508856055 Individual Practitioner Male Practitioner

Dr. Roberto Pineda , MD

Ophthalmology • Boston, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Roberto Pineda, MD is a certified Ophthalmology practicing in Boston, MA. With approximately 36 years of clinical experience since graduating from University Of Minnesota Medical School in 1990, Dr. Pineda delivers high-quality medical care to the local community at 243 CHARLES ST.

Dr. Pineda is affiliated with Massachusetts Eye And Ear Associates, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, ct scan of cornea. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

243 Charles St
Massachusetts Eye And Ear Infirmary

Boston, MA 021143002

Telephone 6175733529

Fax 6175734300

Associated Practice Facility / Clinic

🏢 Massachusetts Eye And Ear Infirmary Facility NPI 1639101751

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +16.1 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

339 Specialists

Practicing in Boston, MA (841 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pineda (36 Years) 36 Yrs

Boston Specialty Average (19.9 Years) 19.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	478	270	$277.21	$69.03
92014 Established patient complete exam of visual system	321	303	$322.54	$79.72
92025 Ct scan of cornea	212	175	$82.31	$20.48
68761 Closure of tear duct opening using plug	208	79	$515.17	$97.06
66821 Removal of recurring cataract in lens capsule using a laser	87	81	$1408.25	$342.33
92136 Measurement of corneal curvature and depth of eye	79	79	$110.54	$32.05
92134 Imaging of retina	76	49	$113.00	$26.21
66984 Removal of cataract with insertion of lens	61	48	$2696.49	$586.48
92286 Imaging of front third of eye using a special microscope	60	55	$110.00	$22.57
92004 New patient complete exam of visual system	54	54	$397.52	$97.53
92285 Photography of content of eyes	35	29	$34.00	$3.18
66982 Complex removal of cataract with insertion of prosthetic lens	35	28	$3219.06	$805.19
92132 Imaging of front third of eye	34	19	$69.32	$17.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$409.46	$102.21
66986 Exchange of prosthetic lens	19	19	$3894.21	$973.62
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$277.14	$68.83
66825 Repositioning of lens prosthesis	14	13	$3699.29	$874.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	265	$274.55	$70.30
92014 Established patient complete exam of visual system	294	289	$318.80	$82.00
68761 Closure of tear duct opening using plug	179	72	$509.67	$99.06
66984 Removal of cataract with insertion of lens	91	70	$2653.00	$582.52
92025 Ct scan of cornea	60	56	$80.60	$20.92
92004 New patient complete exam of visual system	51	51	$394.53	$101.31
66821 Removal of recurring cataract in lens capsule using a laser	45	44	$1338.00	$343.61
92134 Imaging of retina	45	37	$113.00	$26.79
92286 Imaging of front third of eye using a special microscope	35	33	$105.60	$23.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$407.76	$103.76
92132 Imaging of front third of eye	18	14	$67.78	$17.54
66986 Exchange of prosthetic lens	17	16	$3822.12	$958.64
92285 Photography of content of eyes	17	13	$32.82	$3.23
92136 Measurement of corneal curvature and depth of eye	15	15	$105.40	$32.78
66982 Complex removal of cataract with insertion of prosthetic lens	15	14	$3166.80	$814.52
65756 Transplantation of outer layer of corneal tissue	15	14	$4952.40	$1220.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	274	$269.84	$72.15
92014 Established patient complete exam of visual system	270	260	$313.33	$83.12
66984 Removal of cataract with insertion of lens	84	65	$2653.00	$587.11
66821 Removal of recurring cataract in lens capsule using a laser	83	77	$1327.81	$344.31
68761 Closure of tear duct opening using plug	64	29	$504.77	$99.52
92004 New patient complete exam of visual system	55	55	$387.45	$103.97
92025 Ct scan of cornea	38	38	$78.37	$21.12
92012 Established patient problem focused exam of visual system	36	36	$206.00	$56.06
92136 Measurement of corneal curvature and depth of eye	24	23	$101.75	$33.36
66986 Exchange of prosthetic lens	20	18	$3718.10	$987.50
92134 Imaging of retina	16	15	$113.00	$27.56
92286 Imaging of front third of eye using a special microscope	14	13	$103.00	$23.73
65756 Transplantation of outer layer of corneal tissue	13	11	$4814.77	$1297.57
66825 Repositioning of lens prosthesis	11	11	$3526.18	$903.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	517	250	$222.92	$73.51
92014 Established patient complete exam of visual system	260	253	$321.79	$85.17
92025 Ct scan of cornea	159	136	$81.72	$21.42
66984 Removal of cataract with insertion of lens	117	90	$2653.00	$606.82
92136 Measurement of corneal curvature and depth of eye	106	92	$125.83	$33.55
66821 Removal of recurring cataract in lens capsule using a laser	72	60	$1340.07	$351.37
92004 New patient complete exam of visual system	58	58	$398.76	$105.86
92134 Imaging of retina	57	38	$113.00	$28.10
92012 Established patient problem focused exam of visual system	45	43	$210.60	$56.68
92286 Imaging of front third of eye using a special microscope	33	30	$101.12	$24.17
92132 Imaging of front third of eye	31	18	$69.00	$17.99
66986 Exchange of prosthetic lens	19	19	$3799.16	$961.13
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$3131.57	$779.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$334.33	$108.81
65756 Transplantation of outer layer of corneal tissue	12	11	$4944.33	$1284.25
92285 Photography of content of eyes	12	12	$32.00	$3.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	392	226	$205.39	$56.23
92014 Established patient complete exam of visual system	173	172	$324.46	$87.48
92025 Ct scan of cornea	146	124	$82.00	$22.04
66984 Removal of cataract with insertion of lens	92	68	$2653.00	$600.73
92136 Measurement of corneal curvature and depth of eye	80	73	$128.38	$34.72
92004 New patient complete exam of visual system	62	62	$401.92	$108.57
92286 Imaging of front third of eye using a special microscope	61	56	$93.61	$24.76
66821 Removal of recurring cataract in lens capsule using a laser	45	41	$1313.60	$356.65
92134 Imaging of retina	41	29	$113.00	$28.32
92285 Photography of content of eyes	23	23	$18.78	$3.49
65756 Transplantation of outer layer of corneal tissue	22	18	$4901.86	$1313.60
92132 Imaging of front third of eye	16	12	$67.38	$18.36
66982 Complex removal of cataract with insertion of prosthetic lens	12	12	$3219.00	$843.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	509	268	$209.12	$55.00
92014 Established patient complete exam of visual system	204	204	$376.67	$86.05
92025 Ct scan of cornea	175	144	$139.51	$21.98
92136 Measurement of corneal curvature and depth of eye	146	125	$132.52	$44.49
66984 Removal of cataract with insertion of lens	138	108	$2451.33	$705.81
92004 New patient complete exam of visual system	82	82	$459.90	$108.03
66821 Removal of recurring cataract in lens capsule using a laser	71	61	$1057.46	$347.36
92286 Imaging of front third of eye using a special microscope	56	50	$116.88	$24.23
92134 Imaging of retina	46	40	$119.24	$28.15
92132 Imaging of front third of eye	21	17	$76.90	$18.06
65756 Transplantation of outer layer of corneal tissue	20	19	$4200.00	$1294.90
92285 Photography of content of eyes	20	19	$26.50	$3.46
66986 Exchange of prosthetic lens	16	15	$2819.38	$862.48
66982 Complex removal of cataract with insertion of prosthetic lens	15	15	$2864.67	$882.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	501	277	$210.00	$55.34
92014 Established patient complete exam of visual system	241	240	$390.00	$86.78
92136 Measurement of corneal curvature and depth of eye	119	100	$144.54	$49.91
66984 Removal of cataract with insertion of lens	109	78	$2400.00	$691.44
92004 New patient complete exam of visual system	82	82	$470.00	$108.23
92025 Ct scan of cornea	76	68	$150.00	$21.95
66821 Removal of recurring cataract in lens capsule using a laser	60	50	$1000.00	$351.98
92286 Imaging of front third of eye using a special microscope	54	50	$125.00	$24.22
68761 Closure of tear duct opening using plug	36	22	$394.86	$109.92
92134 Imaging of retina	32	24	$120.00	$28.57
92132 Imaging of front third of eye	29	20	$80.00	$18.04
65756 Transplantation of outer layer of corneal tissue	21	17	$4200.00	$1298.60
66982 Complex removal of cataract with insertion of prosthetic lens	19	17	$2800.00	$885.66
66986 Exchange of prosthetic lens	18	17	$2600.00	$952.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	286	$194.95	$52.89
92014 Established patient complete exam of visual system	244	241	$369.51	$84.75
92136 Measurement of corneal curvature and depth of eye	125	109	$112.80	$37.63
66984 Removal of cataract with insertion of lens	112	95	$2400.00	$672.99
92004 New patient complete exam of visual system	69	69	$402.54	$105.56
66821 Removal of recurring cataract in lens capsule using a laser	54	50	$1018.52	$333.85
92286 Imaging of front third of eye using a special microscope	45	42	$125.00	$23.52
92134 Imaging of retina	35	29	$120.00	$27.31
92025 Ct scan of cornea	34	29	$150.00	$21.32
66982 Complex removal of cataract with insertion of prosthetic lens	27	23	$2800.00	$851.95
68761 Closure of tear duct opening using plug	26	15	$390.00	$86.24
92285 Photography of content of eyes	23	17	$40.00	$3.31
92132 Imaging of front third of eye	22	16	$80.00	$17.49
66825 Repositioning of lens prosthesis	14	14	$2200.00	$746.26
65756 Transplantation of outer layer of corneal tissue	14	13	$3503.57	$1240.66
66986 Exchange of prosthetic lens	13	12	$2600.00	$975.93
65400 Removal of growth of cornea	12	11	$1962.50	$539.57

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 75897

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

3122123 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

075897 (MA)

Hospital & Practice Group Affiliations

Massachusetts Eye And Ear Associates, Inc

243 Charles St, Boston, MA 021143002

Phone: 6175237900

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Matthew Gardiner , MD

Ophthalmology

NPI 1366432833

Doctor of Medicine (M.D.)

Dr. Ula Jurkunas , MD

Ophthalmology

NPI 1386634699

Doctor of Medicine (M.D.)

Dr. Julie Kim , MD

Ophthalmology

NPI 1467647792

Doctor of Medicine (M.D.)

Dr. Claes Dohlman , MD PHD

Ophthalmology

NPI 1518958529

MDPHD

Dr. Sherleen Chen , MD

Ophthalmology

NPI 1528059383

Doctor of Medicine (M.D.)

Dr. Jason Comander , MD, PhD

Ophthalmology

NPI 1538211289

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2013

Registered at 243 CHARLES ST, MASSACHUSETTS EYE AND EAR INFIRMARY, BOSTON, MA 021143002 (Tel: 6175733529)

📍

Updated Business Mailing Address June 18, 2013

Registered at PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

👤

Provider Name / Credentials Updated June 18, 2013

Recorded as ROBERTO PINEDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Ophthalmology (License #75897 in MA)

🟢

Initial NPI Registration & Enumeration October 26, 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: 1508856055

Entity Type:

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

Enumeration Date: October 26, 2005

Last Update: June 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9142, Mass General Physician Organization

Charlestown, MA 021299142

Phone: 6177240287

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.