Active NPI 1669450607 Individual Practitioner Male Practitioner

Dr. Michael F Oats , MD

Ophthalmology • Sandwich, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Oats, MD is a certified Ophthalmology practicing in Sandwich, MA. With approximately 45 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1981, Dr. Oats delivers high-quality medical care to the local community at 282 ROUTE 130 & COTUIT RD.

Dr. Oats is affiliated with Ophthalmic Consultants Of Boston Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

282 Route 130 & Cotuit Rd

Sandwich, MA 02563

Telephone 5088338222

Fax 5088339924

Associated Practice Facility / Clinic

🏢 Cape Cod Eye Surgery & Laser Center, Llc Facility NPI 1033213269

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sandwich, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs Matches City Avg

City Avg: 45.0 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Sandwich, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oats (45 Years) 45 Yrs

Sandwich Specialty Average (45.0 Years) 45.0 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	2,725	2,578	$400.00	$128.54
99213 Established patient office or other outpatient visit, typically 15 minutes	1,404	985	$250.00	$92.05
92083 Exam of visual field with extended testing	1,294	1,242	$290.00	$64.83
92133 Imaging of optic nerve	1,223	1,212	$161.00	$34.66
92012 Established patient problem focused exam of visual system	947	785	$275.00	$91.09
92134 Imaging of retina	599	549	$161.00	$40.20
66984 Removal of cataract with insertion of lens	292	21	$37.67	$1.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	212	$320.00	$129.39
66821 Removal of recurring cataract in lens capsule using a laser	210	190	$1100.00	$308.59
92136 Measurement of corneal curvature and depth of eye	206	202	$300.00	$41.90
92004 New patient complete exam of visual system	187	187	$450.00	$151.30
66984 Removal of cataract with insertion of lens	172	158	$2977.00	$521.45
92060 Exam to measure eye deviation and range of motion	79	63	$225.00	$64.28
92020 Examination of cornea and iris using lens device and slit lamp	79	69	$85.00	$27.85
65855 Laser repair to improve eye fluid flow	68	56	$1529.00	$206.20
92201 Extended exam of the back part of the eye with retinal drawing	66	57	$95.00	$24.91
76514 Ultrasound scan of cornea to determine thickness	53	52	$83.40	$10.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$700.00	$168.24
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	30	19	$1412.00	$239.57
92132 Imaging of front third of eye	29	28	$222.00	$29.25
92002 New patient problem focused exam of visual system	26	26	$265.00	$86.86
92025 Ct scan of cornea	23	22	$150.00	$34.19
67800 Removal of eyelid growth	16	16	$400.00	$131.03
67820 Removal of eyelashes using forceps	13	13	$160.00	$18.82
66250 Revision or repair of operative wound of eye	11	11	$2200.00	$559.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,871	2,622	$400.00	$130.79
92083 Exam of visual field with extended testing	1,262	1,202	$290.00	$65.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,217	859	$250.00	$92.39
92133 Imaging of optic nerve	1,187	1,182	$161.00	$35.46
92012 Established patient problem focused exam of visual system	1,095	861	$275.00	$93.01
66984 Removal of cataract with insertion of lens	777	438	$2243.03	$399.17
92136 Measurement of corneal curvature and depth of eye	716	595	$300.00	$42.46
92134 Imaging of retina	651	585	$161.00	$40.17
92004 New patient complete exam of visual system	272	272	$450.00	$154.32
66821 Removal of recurring cataract in lens capsule using a laser	260	178	$859.94	$244.24
66984 Removal of cataract with insertion of lens	257	16	$5.21	$1.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$700.00	$169.96
92132 Imaging of front third of eye	80	76	$222.00	$29.68
76514 Ultrasound scan of cornea to determine thickness	65	65	$85.00	$10.98
92020 Examination of cornea and iris using lens device and slit lamp	62	61	$85.00	$28.47
65855 Laser repair to improve eye fluid flow	56	47	$1529.00	$208.03
92060 Exam to measure eye deviation and range of motion	56	47	$225.00	$65.12
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	28	22	$5725.00	$687.35
66982 Complex removal of cataract with insertion of prosthetic lens	28	24	$3345.00	$727.95
92025 Ct scan of cornea	24	23	$150.00	$35.22
92002 New patient problem focused exam of visual system	24	24	$265.00	$88.78
92201 Extended exam of the back part of the eye with retinal drawing	21	20	$95.00	$25.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$320.00	$130.58
66250 Revision or repair of operative wound of eye	17	14	$2200.00	$545.41
67840 Removal of eyelid growth	11	11	$1000.00	$293.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$450.00	$114.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,784	2,518	$400.00	$132.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,498	1,058	$250.00	$94.31
92083 Exam of visual field with extended testing	1,300	1,232	$290.00	$65.82
92133 Imaging of optic nerve	1,228	1,207	$161.00	$36.15
92012 Established patient problem focused exam of visual system	961	807	$275.00	$93.82
66984 Removal of cataract with insertion of lens	921	490	$2118.64	$385.12
92136 Measurement of corneal curvature and depth of eye	818	690	$300.00	$44.57
92134 Imaging of retina	558	495	$161.00	$41.63
92004 New patient complete exam of visual system	331	331	$450.00	$157.27
66821 Removal of recurring cataract in lens capsule using a laser	251	204	$982.21	$281.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	169	$320.00	$133.48
92020 Examination of cornea and iris using lens device and slit lamp	114	105	$85.00	$29.32
66982 Complex removal of cataract with insertion of prosthetic lens	112	33	$1227.68	$266.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$688.43	$173.08
76514 Ultrasound scan of cornea to determine thickness	62	62	$85.00	$11.29
92201 Extended exam of the back part of the eye with retinal drawing	51	44	$95.00	$25.54
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	46	34	$5725.00	$689.60
92060 Exam to measure eye deviation and range of motion	37	31	$225.00	$65.45
65855 Laser repair to improve eye fluid flow	28	26	$1529.00	$210.17
66250 Revision or repair of operative wound of eye	22	21	$2200.00	$586.71
92002 New patient problem focused exam of visual system	18	18	$265.00	$90.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$450.00	$116.75
92025 Ct scan of cornea	14	12	$150.00	$35.99
67800 Removal of eyelid growth	12	11	$400.00	$133.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,795	2,536	$400.00	$134.09
99213 Established patient office or other outpatient visit, typically 15 minutes	1,670	1,106	$250.00	$95.69
92083 Exam of visual field with extended testing	1,221	1,167	$290.00	$66.78
92133 Imaging of optic nerve	1,171	1,144	$161.00	$36.68
66984 Removal of cataract with insertion of lens	1,014	563	$2367.53	$437.66
92136 Measurement of corneal curvature and depth of eye	992	821	$300.00	$47.83
92012 Established patient problem focused exam of visual system	801	682	$275.00	$95.20
92134 Imaging of retina	530	459	$161.00	$42.07
92004 New patient complete exam of visual system	401	401	$450.00	$158.87
66821 Removal of recurring cataract in lens capsule using a laser	382	226	$730.22	$210.84
92020 Examination of cornea and iris using lens device and slit lamp	89	83	$85.00	$29.46
92201 Extended exam of the back part of the eye with retinal drawing	84	65	$95.00	$26.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$670.00	$175.36
0191T Internal insertion of eye fluid drainage device	75	56	$5742.00	$366.28
66982 Complex removal of cataract with insertion of prosthetic lens	47	41	$3345.00	$765.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$450.00	$117.59
66250 Revision or repair of operative wound of eye	32	29	$2200.00	$572.39
92060 Exam to measure eye deviation and range of motion	32	24	$225.00	$66.77
67800 Removal of eyelid growth	28	24	$400.00	$136.27
92002 New patient problem focused exam of visual system	27	27	$265.00	$91.54
76514 Ultrasound scan of cornea to determine thickness	25	25	$85.00	$11.52
65855 Laser repair to improve eye fluid flow	22	19	$1529.00	$214.19
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	12	$1412.00	$247.14
67840 Removal of eyelid growth	16	14	$1000.00	$290.44
92250 Photography of the retina	12	12	$215.00	$41.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,315	2,175	$400.00	$133.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,149	868	$250.00	$79.00
92133 Imaging of optic nerve	1,061	1,039	$161.00	$37.08
92083 Exam of visual field with extended testing	1,021	979	$290.00	$66.70
66984 Removal of cataract with insertion of lens	754	357	$1841.81	$343.58
92012 Established patient problem focused exam of visual system	669	560	$275.00	$93.72
92136 Measurement of corneal curvature and depth of eye	614	544	$300.00	$54.33
92134 Imaging of retina	401	337	$161.00	$41.98
92004 New patient complete exam of visual system	288	288	$450.00	$159.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	206	$320.00	$114.12
66821 Removal of recurring cataract in lens capsule using a laser	209	184	$1068.56	$315.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$670.00	$172.78
0191T Internal insertion of eye fluid drainage device	58	47	$5742.00	$350.51
66982 Complex removal of cataract with insertion of prosthetic lens	45	30	$2380.11	$549.34
66250 Revision or repair of operative wound of eye	34	30	$2200.00	$580.90
92201 Extended exam of the back part of the eye with retinal drawing	34	30	$95.00	$26.58
92060 Exam to measure eye deviation and range of motion	33	29	$225.00	$64.81
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	28	14	$1412.00	$246.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$450.00	$113.64
92020 Examination of cornea and iris using lens device and slit lamp	24	24	$85.00	$29.24
92002 New patient problem focused exam of visual system	21	21	$265.00	$89.28
67800 Removal of eyelid growth	19	19	$400.00	$136.41
67820 Removal of eyelashes using forceps	18	14	$160.00	$28.98
92250 Photography of the retina	15	15	$215.00	$47.70
76514 Ultrasound scan of cornea to determine thickness	14	14	$85.00	$11.87
65855 Laser repair to improve eye fluid flow	13	12	$1529.00	$219.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,582	2,419	$400.00	$132.89
66984 Removal of cataract with insertion of lens	1,684	581	$1365.60	$293.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,570	1,049	$250.00	$77.53
92133 Imaging of optic nerve	1,207	1,193	$161.00	$37.02
92083 Exam of visual field with extended testing	1,152	1,113	$290.00	$67.48
92012 Established patient problem focused exam of visual system	1,004	769	$275.00	$92.77
92136 Measurement of corneal curvature and depth of eye	936	781	$300.00	$59.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	410	$320.00	$113.25
92134 Imaging of retina	409	350	$161.00	$42.06
66821 Removal of recurring cataract in lens capsule using a laser	363	204	$665.67	$187.97
92004 New patient complete exam of visual system	337	337	$450.00	$158.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$670.00	$171.52
0191T Internal insertion of eye fluid drainage device	59	48	$5742.00	$349.21
92020 Examination of cornea and iris using lens device and slit lamp	50	48	$85.00	$28.94
66982 Complex removal of cataract with insertion of prosthetic lens	49	37	$2936.02	$696.78
92060 Exam to measure eye deviation and range of motion	44	32	$210.23	$63.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$850.00	$211.76
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	34	19	$1412.00	$248.12
66250 Revision or repair of operative wound of eye	31	30	$2200.00	$573.78
76514 Ultrasound scan of cornea to determine thickness	25	24	$85.00	$12.06
67800 Removal of eyelid growth	19	19	$373.68	$135.48
65855 Laser repair to improve eye fluid flow	17	16	$1529.00	$218.58
67820 Removal of eyelashes using forceps	15	14	$160.00	$35.85
67840 Removal of eyelid growth	14	14	$930.36	$306.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,760	2,580	$369.44	$132.71
66984 Removal of cataract with insertion of lens	2,160	567	$1041.06	$223.72
99213 Established patient office or other outpatient visit, typically 15 minutes	1,566	1,017	$200.83	$76.40
92133 Imaging of optic nerve	1,233	1,217	$161.00	$37.98
92083 Exam of visual field with extended testing	1,126	1,066	$290.00	$67.60
92012 Established patient problem focused exam of visual system	954	755	$275.00	$92.23
92136 Measurement of corneal curvature and depth of eye	903	746	$300.00	$67.07
66821 Removal of recurring cataract in lens capsule using a laser	398	182	$539.13	$149.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	330	$257.78	$112.38
92134 Imaging of retina	282	246	$161.00	$43.10
92004 New patient complete exam of visual system	245	245	$427.35	$157.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$437.17	$172.14
92020 Examination of cornea and iris using lens device and slit lamp	77	74	$85.00	$28.15
0191T Internal insertion of eye fluid drainage device	73	54	$5742.00	$351.28
66250 Revision or repair of operative wound of eye	50	37	$1892.70	$475.85
66982 Complex removal of cataract with insertion of prosthetic lens	45	17	$1489.44	$346.25
92060 Exam to measure eye deviation and range of motion	36	27	$175.00	$68.03
76514 Ultrasound scan of cornea to determine thickness	26	26	$85.00	$15.25
65855 Laser repair to improve eye fluid flow	19	18	$1529.00	$216.81
67800 Removal of eyelid growth	18	18	$300.00	$135.51
92002 New patient problem focused exam of visual system	16	16	$265.00	$88.33
92250 Photography of the retina	13	13	$215.00	$60.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	3,093	2,891	$365.00	$128.80
99213 Established patient office or other outpatient visit, typically 15 minutes	1,687	1,066	$195.00	$75.54
66984 Removal of cataract with insertion of lens	1,383	447	$1275.05	$270.23
92133 Imaging of optic nerve	1,209	1,190	$161.00	$37.35
92083 Exam of visual field with extended testing	1,158	1,071	$290.00	$66.67
92012 Established patient problem focused exam of visual system	985	762	$275.00	$89.03
92136 Measurement of corneal curvature and depth of eye	675	560	$297.39	$72.04
66821 Removal of recurring cataract in lens capsule using a laser	301	153	$623.49	$174.37
92134 Imaging of retina	281	249	$161.00	$41.82
92004 New patient complete exam of visual system	280	280	$425.00	$155.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	183	$252.00	$111.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$432.00	$168.80
92020 Examination of cornea and iris using lens device and slit lamp	74	68	$85.00	$27.94
0191T Internal insertion of eye fluid drainage device	67	52	$5742.00	$451.58
92060 Exam to measure eye deviation and range of motion	63	47	$175.00	$67.37
66982 Complex removal of cataract with insertion of prosthetic lens	46	32	$2764.13	$647.12
65855 Laser repair to improve eye fluid flow	38	36	$1529.00	$215.65
66250 Revision or repair of operative wound of eye	37	34	$1872.43	$563.73
76514 Ultrasound scan of cornea to determine thickness	18	18	$85.00	$14.71
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	13	$1495.06	$244.89
92002 New patient problem focused exam of visual system	16	16	$265.00	$84.84
92250 Photography of the retina	13	12	$215.00	$63.96
67800 Removal of eyelid growth	12	12	$300.00	$124.31

Medical Specialties & State Licenses

CMS Verified: 2021-12-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 52223

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

6184308 (MA)

Medicaid State Provider ID

110065079A (MA)

Commercial Insurance / Payer ID Tufts Health Plan

738278 (MA)

Commercial Insurance / Payer ID Bcbs Ma

J03630 (MA)

Hospital & Practice Group Affiliations

Ophthalmic Consultants Of Boston Inc

88 Ansel Hallet Rd, West Yarmouth, MA 026732556

Phone: 5087714848

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Anne Farley-Poyant , OD

Optometrist

NPI 1316982325

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2015

Registered at 282 ROUTE 130 & COTUIT RD, SANDWICH, MA 02563 (Tel: 5088338222)

📍

Updated Business Mailing Address December 15, 2015

Registered at 50 STANIFORD ST, SUITE 600, BOSTON, MA 021142517 (Tel: 6173674800)

👤

Provider Name / Credentials Updated December 15, 2015

Recorded as MICHAEL OATS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Ophthalmology (License #52223 in MA)

🟢

Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Oats. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1669450607

Entity Type:

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

Enumeration Date: January 09, 2006

Last Update: December 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 Staniford St, Suite 600

Boston, MA 021142517

Phone: 6173674800

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.