Active NPI 1619906591 Individual Practitioner Male Practitioner

Dr. Philip Michael Arsenault , OD

Optometrist • Braintree, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Arsenault, OD is a certified Optometrist practicing in Braintree, MA. With approximately 23 years of clinical experience since graduating from New England College Of Optometry in 2003, Dr. Arsenault delivers high-quality medical care to the local community at 250 GRANITE ST.

Dr. Arsenault is affiliated with Braintree Eye Associates, Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

250 Granite St
Suite Number 2069

Braintree, MA 021842804

Telephone 7818499944

Fax 7818481023

Associated Practice Facility / Clinic

🏢 Braintree Eye Associates, Pc Facility NPI 1881718658

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Braintree, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +0.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

14 Specialists

Practicing in Braintree, MA (1567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arsenault (23 Years) 23 Yrs

Braintree Specialty Average (22.4 Years) 22.4 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
92014 Established patient complete exam of visual system	168	167	$165.24	$140.38
92250 Photography of the retina	87	83	$100.00	$41.16
92012 Established patient problem focused exam of visual system	84	64	$100.00	$98.68
92004 New patient complete exam of visual system	52	52	$199.52	$165.03
92133 Imaging of optic nerve	42	31	$55.00	$38.55
92083 Exam of visual field with extended testing	27	24	$105.00	$71.74
92134 Imaging of retina	24	21	$55.00	$44.77
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$35.00	$30.20
92201 Extended exam of the back part of the eye with retinal drawing	11	11	$55.00	$26.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	160	$164.72	$142.66
92250 Photography of the retina	102	100	$100.00	$42.03
92012 Established patient problem focused exam of visual system	64	47	$100.00	$98.69
92004 New patient complete exam of visual system	48	48	$199.48	$168.50
92133 Imaging of optic nerve	33	24	$55.00	$38.78
92083 Exam of visual field with extended testing	32	24	$105.00	$71.83
92134 Imaging of retina	17	14	$55.00	$44.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$125.00	$123.30
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$35.00	$30.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	148	$164.56	$144.83
92250 Photography of the retina	95	92	$100.00	$42.42
92012 Established patient problem focused exam of visual system	48	34	$101.35	$99.12
92004 New patient complete exam of visual system	48	48	$200.00	$170.85
92083 Exam of visual field with extended testing	24	18	$105.00	$73.07
92133 Imaging of optic nerve	23	16	$55.00	$39.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$125.00	$124.07
92134 Imaging of retina	13	11	$55.00	$45.85
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$35.00	$31.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	142	141	$160.28	$146.21
92250 Photography of the retina	64	63	$100.00	$45.17
92012 Established patient problem focused exam of visual system	45	27	$100.00	$100.00
92004 New patient complete exam of visual system	43	43	$200.00	$173.03
92133 Imaging of optic nerve	25	19	$55.00	$40.23
92083 Exam of visual field with extended testing	24	20	$105.00	$74.30
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$35.00	$31.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	93	91	$158.98	$143.55
92250 Photography of the retina	53	50	$100.00	$51.83
92004 New patient complete exam of visual system	25	25	$200.00	$171.28
92133 Imaging of optic nerve	13	11	$55.00	$40.58
92083 Exam of visual field with extended testing	13	12	$105.00	$73.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$125.00	$122.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	111	$150.18	$142.08
92250 Photography of the retina	77	75	$100.00	$57.24
92004 New patient complete exam of visual system	42	41	$190.00	$169.27
92083 Exam of visual field with extended testing	27	24	$105.00	$73.03
92012 Established patient problem focused exam of visual system	27	17	$100.00	$98.65
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$90.00	$82.22
92133 Imaging of optic nerve	21	20	$55.00	$38.42
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$35.00	$30.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$125.00	$120.03
76514 Ultrasound scan of cornea to determine thickness	12	12	$20.00	$13.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	140	137	$149.64	$134.78
92250 Photography of the retina	63	62	$100.00	$61.84
92004 New patient complete exam of visual system	41	41	$190.00	$161.17
92133 Imaging of optic nerve	28	25	$55.00	$37.92
92083 Exam of visual field with extended testing	26	20	$105.00	$69.78
92012 Established patient problem focused exam of visual system	21	18	$100.00	$93.78
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$90.00	$76.87
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$35.00	$28.41
92134 Imaging of retina	14	13	$55.00	$44.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$125.00	$113.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	113	113	$149.38	$132.73
92250 Photography of the retina	69	67	$100.00	$72.11
92004 New patient complete exam of visual system	52	52	$189.62	$158.63
92083 Exam of visual field with extended testing	33	24	$105.00	$68.31
92012 Established patient problem focused exam of visual system	32	26	$100.00	$91.35
92133 Imaging of optic nerve	26	23	$55.00	$37.68
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$90.00	$76.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$125.53	$112.49
92020 Examination of cornea and iris using lens device and slit lamp	15	14	$35.00	$28.54

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA MA4347

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0324981 (MA)

Commercial Insurance / Payer ID Eyemed Vision Plan

MA4347 (MA)

Commercial Insurance / Payer ID Cigna

7313791 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

W16387 (MA)

Commercial Insurance / Payer ID Aetna

3500892 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

469480 (MA)

Commercial Insurance / Payer ID First Health

5495618 (MA)

Commercial Insurance / Payer ID Neighborhood Health Plan

0034365 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

AA10463 (MA)

Hospital & Practice Group Affiliations

Braintree Eye Associates, Pc

250 Granite St, Braintree, MA 021842804

Phone: 7818499944

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. David Herron , OD

Optometrist

NPI 1093788242

Doctor of Optometry

Mark Herron

Optometrist

NPI 1952092314

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 250 GRANITE ST, SUITE NUMBER 2069, BRAINTREE, MA 021842804 (Tel: 7818499944)

📍

Updated Business Mailing Address July 08, 2007

Registered at 71 THAYER AVE, WEST BRIDGEWATER, MA 023791328 (Tel: 5085598764)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP ARSENAULT, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #MA4347 in MA)

🟢

Initial NPI Registration & Enumeration July 02, 2006

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: 1619906591

Entity Type:

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

Enumeration Date: July 02, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

71 Thayer Ave

West Bridgewater, MA 023791328

Phone: 5085598764

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.