Active NPI 1972601912 Individual Practitioner Male Practitioner

Dr. James Ira Merlin , OD

Optometrist • Greenfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. James Merlin, OD is a registered healthcare professional specializing in Optometrist in Greenfield, MA. Practice services are available at 329 CONWAY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, 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

329 Conway St

Greenfield, MA 013011521

Telephone 4137746301

Fax 4137723395

Associated Practice Facility / Clinic

🏢 Valley Medical Group, P.c. Facility NPI 1912924705

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Greenfield, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.6 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Greenfield, MA (1567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	101	101	$262.00	$132.86
92004 New patient complete exam of visual system	17	17	$314.00	$158.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	448	445	$262.12	$132.85
92004 New patient complete exam of visual system	110	110	$314.00	$154.94
92012 Established patient problem focused exam of visual system	60	55	$182.00	$92.89
92133 Imaging of optic nerve	42	32	$94.00	$36.78
92083 Exam of visual field with extended testing	40	34	$140.00	$67.91
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	38	38	$30.00	$15.02
92250 Photography of the retina	26	25	$171.00	$49.67
92134 Imaging of retina	25	25	$96.00	$42.52
76514 Ultrasound scan of cornea to determine thickness	19	18	$32.00	$11.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$100.00	$45.81
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$170.00	$77.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$245.00	$113.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,023	19	$3.47	$1.63
92014 Established patient complete exam of visual system	381	375	$262.14	$131.93
92004 New patient complete exam of visual system	137	137	$314.00	$157.87
92012 Established patient problem focused exam of visual system	46	42	$182.00	$90.93
92250 Photography of the retina	42	42	$171.00	$59.18
92083 Exam of visual field with extended testing	32	27	$140.00	$68.12
92133 Imaging of optic nerve	26	22	$94.00	$37.17
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$170.00	$76.52
92002 New patient problem focused exam of visual system	15	15	$173.00	$88.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$30.00	$15.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$100.00	$46.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,610	14	$5.91	$1.56
92014 Established patient complete exam of visual system	440	434	$262.00	$129.09
92004 New patient complete exam of visual system	113	113	$314.00	$152.14
92012 Established patient problem focused exam of visual system	51	47	$182.00	$89.32
92083 Exam of visual field with extended testing	51	46	$140.00	$67.71
92250 Photography of the retina	45	45	$171.00	$69.41
92133 Imaging of optic nerve	42	36	$94.00	$36.32
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$161.48	$75.51
92134 Imaging of retina	16	16	$96.00	$42.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$97.60	$45.26
92002 New patient problem focused exam of visual system	13	13	$173.00	$84.96
76514 Ultrasound scan of cornea to determine thickness	11	11	$32.00	$14.74

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 3359

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

110016183A (MA)

Commercial Insurance / Payer ID Ma State License

3359 (MA)

Secondary Practice Locations

31 Hall Dr

Amherst, MA 010022751

Phone: 4132565501

70 Main St

Florence, MA 010621466

Phone: 4135868400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Marjorie Sobil , RD, LDN

Dietitian, Registered

NPI 1013199652

Registered Dietitian, Licensed Dietitian Nutritionist

Barbara Berthiaume , APRN

Nurse Practitioner - Family

NPI 1053736629

Advanced Practice Registered Nurse

Dr. Patricia Iverson , MD

Family Medicine

NPI 1063484038

Doctor of Medicine (M.D.)

Rebecca Bucala , PT

Physical Therapist

NPI 1093004137

Physical Therapist

Jo Stearns , PA

Physician Assistant

NPI 1093759078

Physician Assistant

Mariah Hamilton , PA-C

Physician Assistant

NPI 1104393891

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2017

Registered at 329 CONWAY ST, GREENFIELD, MA 013011521 (Tel: 4137746301)

📍

Updated Business Mailing Address October 10, 2017

Registered at 329 CONWAY ST, GREENFIELD, MA 013011521 (Tel: 4137746301)

👤

Provider Name / Credentials Updated October 10, 2017

Recorded as JAMES MERLIN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Optometrist (License #3359 in MA)

✅

NPI Profile Active December 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2009

Registered at 300A FAUNCE CORNER RD, DARTMOUTH, MA 027471280 (Tel: 5089958200)

📍

Updated Business Mailing Address December 18, 2009

Registered at 91 SOUTH ST, MEDFIELD, MA 020522607 (Tel: 5083590074)

👤

Provider Name / Credentials Updated December 18, 2009

Recorded as JAMES MERLIN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2009

Optometrist (License #3359 in MA)

🟢

Initial NPI Registration & Enumeration September 21, 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: 1972601912

Entity Type:

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

Enumeration Date: September 21, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

329 Conway St

Greenfield, MA 013011521

Phone: 4137746301

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.