Active NPI 1598014607 Individual Practitioner Female Practitioner

Dr. Toral Patel , OD

Optometrist • Maynard, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Toral Patel, OD is a certified Optometrist practicing in Maynard, MA. With approximately 20 years of clinical experience since graduating from University Of Waterloo - School Of Optometry in 2006, Dr. Patel delivers high-quality medical care to the local community at 3 DIGITAL WAY.

Dr. Patel is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3 Digital Way

Maynard, MA 017542360

Telephone 9785472230

Fax 9785472250

Associated Practice Facility / Clinic

🏢 Vinya Pllc Facility NPI 1225808736

Medicare Profile & Education

Medical School

University Of Waterloo - School Of Optometry

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maynard, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Maynard, MA (1567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (20 Years) 20 Yrs

Maynard Specialty Average (20.0 Years) 20.0 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
92014 Established patient complete exam of visual system	270	264	$428.20	$76.31
92134 Imaging of retina	243	226	$141.33	$24.93
99213 Established patient office or other outpatient visit, typically 15 minutes	133	106	$287.59	$68.71
92004 New patient complete exam of visual system	127	127	$477.79	$101.40
92083 Exam of visual field with extended testing	76	73	$155.00	$27.06
92133 Imaging of optic nerve	64	57	$139.44	$22.19
92250 Photography of the retina	51	51	$111.53	$23.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$347.59	$84.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$370.71	$104.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	320	311	$418.00	$79.69
92134 Imaging of retina	311	293	$144.62	$25.89
92004 New patient complete exam of visual system	171	171	$502.00	$99.28
99213 Established patient office or other outpatient visit, typically 15 minutes	106	86	$283.09	$66.18
92083 Exam of visual field with extended testing	105	98	$156.30	$27.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	79	$390.89	$100.93
92133 Imaging of optic nerve	85	78	$144.61	$22.22
92250 Photography of the retina	68	68	$122.21	$22.36
92286 Imaging of front third of eye using a special microscope	36	36	$142.00	$21.96
68761 Closure of tear duct opening using plug	35	26	$1493.49	$169.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$547.00	$138.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	192	188	$370.00	$134.56
92286 Imaging of front third of eye using a special microscope	77	77	$205.00	$41.72
92134 Imaging of retina	75	70	$140.00	$40.87
92250 Photography of the retina	65	65	$245.00	$37.69
99213 Established patient office or other outpatient visit, typically 15 minutes	63	51	$230.00	$95.82
68761 Closure of tear duct opening using plug	39	32	$673.21	$199.81
92004 New patient complete exam of visual system	37	37	$445.00	$156.20
92133 Imaging of optic nerve	22	22	$140.00	$35.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$325.00	$135.19
92083 Exam of visual field with extended testing	17	16	$200.00	$64.65
92285 Photography of content of eyes	12	12	$70.00	$24.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	189	189	$360.37	$135.40
92286 Imaging of front third of eye using a special microscope	100	100	$200.05	$40.41
92134 Imaging of retina	80	79	$135.13	$41.55
68761 Closure of tear duct opening using plug	72	62	$743.26	$218.20
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$210.31	$96.80
92250 Photography of the retina	65	64	$235.15	$41.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$310.44	$137.24
92004 New patient complete exam of visual system	34	34	$435.00	$160.74
92083 Exam of visual field with extended testing	22	21	$195.00	$67.67
92133 Imaging of optic nerve	19	19	$135.00	$37.82
92285 Photography of content of eyes	18	17	$65.28	$24.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	96	96	$324.11	$134.79
68761 Closure of tear duct opening using plug	55	52	$642.45	$213.04
92250 Photography of the retina	46	46	$219.35	$47.81
92286 Imaging of front third of eye using a special microscope	39	39	$263.33	$40.12
92134 Imaging of retina	32	32	$129.69	$41.47
92004 New patient complete exam of visual system	21	21	$400.71	$160.50
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$183.75	$79.36
92012 Established patient problem focused exam of visual system	17	15	$234.12	$94.88
92285 Photography of content of eyes	16	16	$104.38	$22.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	199	198	$295.00	$134.29
99213 Established patient office or other outpatient visit, typically 15 minutes	96	75	$175.00	$78.33
92250 Photography of the retina	78	78	$213.33	$53.50
92286 Imaging of front third of eye using a special microscope	78	78	$310.00	$40.23
68761 Closure of tear duct opening using plug	69	58	$596.81	$213.84
92004 New patient complete exam of visual system	54	54	$355.00	$160.07
92134 Imaging of retina	48	46	$125.00	$41.45
92285 Photography of content of eyes	41	40	$108.05	$21.90
92012 Established patient problem focused exam of visual system	36	30	$205.00	$93.77
92133 Imaging of optic nerve	27	27	$125.00	$37.71
92083 Exam of visual field with extended testing	14	11	$210.00	$67.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$260.00	$114.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	184	182	$295.00	$133.13
92286 Imaging of front third of eye using a special microscope	87	85	$310.00	$39.54
99213 Established patient office or other outpatient visit, typically 15 minutes	85	69	$175.00	$76.24
92134 Imaging of retina	68	66	$125.00	$42.31
68761 Closure of tear duct opening using plug	57	47	$635.26	$221.43
92004 New patient complete exam of visual system	51	51	$355.00	$159.40
92012 Established patient problem focused exam of visual system	36	33	$205.00	$92.43
92250 Photography of the retina	35	35	$212.57	$60.19
92133 Imaging of optic nerve	19	19	$125.00	$38.04
92285 Photography of content of eyes	11	11	$110.00	$21.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	130	130	$288.69	$129.16
92286 Imaging of front third of eye using a special microscope	73	72	$298.49	$39.00
68761 Closure of tear duct opening using plug	62	54	$593.15	$209.01
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$172.07	$75.56
92004 New patient complete exam of visual system	45	45	$346.00	$155.43
92012 Established patient problem focused exam of visual system	33	29	$201.97	$89.22
92134 Imaging of retina	32	32	$125.00	$40.57
92250 Photography of the retina	29	29	$212.07	$68.95
92285 Photography of content of eyes	25	25	$105.80	$21.39
92133 Imaging of optic nerve	18	18	$125.00	$36.54
92083 Exam of visual field with extended testing	18	16	$200.00	$67.19

Medical Specialties & State Licenses

CMS Verified: 2024-02-11

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 4843

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.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

333 Sw Cutoff, Northborough, MA 015322130

Phone: 7744425695

Secondary Practice Locations

281 Lincoln St

Worcester, MA 016052138

Phone: 5083346855

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kevin Nuttall , MD

Emergency Medicine

NPI 1619103496

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 11, 2024

Registered at 3 DIGITAL WAY, MAYNARD, MA 017542360 (Tel: 9785472230)

📍

Updated Practice Location December 02, 2022

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083346855)

📍

Updated Business Mailing Address December 02, 2022

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

✅

NPI Profile Active September 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2012

Registered at 479 OLD UNION TURNPIKE, LANCASTER, MA 01523 (Tel: 9785373900)

📍

Updated Business Mailing Address September 06, 2012

Registered at 479 OLD UNION TURNPIKE, LANCASTER, MA 01523 (Tel: 9785373900)

👤

Provider Name / Credentials Updated September 06, 2012

Recorded as TORAL PATEL, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2012

Optometrist (License #4843 in MA)

🟢

Initial NPI Registration & Enumeration September 05, 2012

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: 1598014607

Entity Type:

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

Enumeration Date: September 05, 2012

Last Update: February 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.