Active NPI 1760491377 Individual Practitioner Male Practitioner

Dr. John Joseph Papale , MD

Ophthalmology • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Papale, MD is a certified Ophthalmology practicing in Springfield, MA. With approximately 47 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 1979, Dr. Papale delivers high-quality medical care to the local community at 1515 ALLEN ST.

Dr. Papale is affiliated with Center For Eye Excellence and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, 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

1515 Allen St
Suite E

Springfield, MA 011181803

Telephone 4137820030

Fax 4137961985

Associated Practice Facility / Clinic

🏢 Urgent Care Physicians Pc Facility NPI 1750369005

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +22.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Springfield, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Papale (47 Years) 47 Yrs

Springfield Specialty Average (24.8 Years) 24.8 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
92250 Photography of the retina	837	669	$140.00	$36.86
92014 Established patient complete exam of visual system	750	681	$205.00	$128.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	729	441	$175.00	$129.10
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	570	29	$207.88	$201.41
92083 Exam of visual field with extended testing	326	252	$160.00	$64.86
92136 Measurement of corneal curvature and depth of eye	301	194	$142.28	$39.41
92134 Imaging of retina	288	254	$110.00	$40.34
92133 Imaging of optic nerve	283	264	$125.00	$36.17
66984 Removal of cataract with insertion of lens	241	152	$1900.00	$542.10
99213 Established patient office or other outpatient visit, typically 15 minutes	144	101	$124.65	$91.30
92025 Ct scan of cornea	111	99	$70.00	$34.20
66821 Removal of recurring cataract in lens capsule using a laser	96	81	$600.00	$338.31
92004 New patient complete exam of visual system	95	95	$220.00	$151.85
66982 Complex removal of cataract with insertion of prosthetic lens	69	51	$2000.00	$719.16
66030 Injection of medication into eye	57	29	$260.00	$181.80
92020 Examination of cornea and iris using lens device and slit lamp	48	47	$65.00	$27.83
92012 Established patient problem focused exam of visual system	46	45	$130.00	$89.56
76514 Ultrasound scan of cornea to determine thickness	46	46	$45.00	$10.73
65855 Laser repair to improve eye fluid flow	41	29	$650.00	$200.94
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	19	11	$750.00	$302.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$168.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,778	11	$6.57	$6.24
92250 Photography of the retina	942	735	$140.00	$37.87
92014 Established patient complete exam of visual system	775	688	$205.00	$130.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	672	418	$175.00	$129.93
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	590	29	$210.00	$202.95
92133 Imaging of optic nerve	363	329	$125.00	$37.05
92136 Measurement of corneal curvature and depth of eye	360	221	$144.40	$40.71
92134 Imaging of retina	321	287	$110.05	$40.73
92083 Exam of visual field with extended testing	305	261	$160.00	$64.74
66984 Removal of cataract with insertion of lens	205	125	$1900.00	$548.91
99213 Established patient office or other outpatient visit, typically 15 minutes	170	122	$125.00	$92.50
66982 Complex removal of cataract with insertion of prosthetic lens	132	85	$2000.00	$754.97
92004 New patient complete exam of visual system	125	125	$220.00	$154.69
66821 Removal of recurring cataract in lens capsule using a laser	90	71	$600.00	$343.19
92012 Established patient problem focused exam of visual system	88	87	$134.09	$92.99
92025 Ct scan of cornea	76	70	$70.00	$34.84
66030 Injection of medication into eye	59	29	$260.00	$184.85
92020 Examination of cornea and iris using lens device and slit lamp	40	38	$65.00	$27.06
65855 Laser repair to improve eye fluid flow	38	22	$650.00	$208.43
76514 Ultrasound scan of cornea to determine thickness	37	36	$45.00	$10.69
65820 Incision to improve eye fluid flow	34	18	$1500.00	$694.47
64612 Injection of chemical for paralysis of nerve muscles on side of face	28	11	$396.43	$211.05
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	13	$750.00	$308.35
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	22	13	$2000.00	$346.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$75.00	$58.23
76519 Ultrasound of eye for determination of lens power	18	11	$155.00	$55.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$250.00	$169.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,200	11	$6.40	$6.13
92014 Established patient complete exam of visual system	934	822	$204.91	$132.35
92250 Photography of the retina	807	619	$140.00	$38.62
92012 Established patient problem focused exam of visual system	649	437	$129.99	$93.98
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	520	25	$210.00	$204.26
92133 Imaging of optic nerve	449	406	$125.00	$38.08
92134 Imaging of retina	415	373	$110.00	$42.00
92136 Measurement of corneal curvature and depth of eye	350	216	$142.06	$42.47
66984 Removal of cataract with insertion of lens	264	158	$1900.00	$557.08
92083 Exam of visual field with extended testing	185	172	$160.00	$66.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	147	$175.00	$131.23
92004 New patient complete exam of visual system	159	159	$220.00	$157.25
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$125.00	$93.84
66821 Removal of recurring cataract in lens capsule using a laser	86	69	$600.00	$344.54
65855 Laser repair to improve eye fluid flow	73	43	$650.00	$208.08
92020 Examination of cornea and iris using lens device and slit lamp	70	70	$65.00	$28.87
66982 Complex removal of cataract with insertion of prosthetic lens	60	45	$2000.00	$766.67
66030 Injection of medication into eye	52	25	$258.85	$188.76
76514 Ultrasound scan of cornea to determine thickness	43	43	$45.00	$11.27
65820 Incision to improve eye fluid flow	35	21	$1500.00	$786.81
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	33	18	$750.00	$310.41
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	32	18	$2031.25	$382.77
64612 Injection of chemical for paralysis of nerve muscles on side of face	30	11	$477.00	$211.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$255.00	$230.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$75.00	$58.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$225.00	$188.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	957	539	$130.00	$95.33
92014 Established patient complete exam of visual system	806	740	$205.00	$134.96
92250 Photography of the retina	538	445	$140.00	$41.67
92133 Imaging of optic nerve	470	433	$125.00	$39.49
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	310	19	$210.00	$206.40
92136 Measurement of corneal curvature and depth of eye	309	200	$144.89	$47.06
66984 Removal of cataract with insertion of lens	258	156	$1900.00	$569.86
92134 Imaging of retina	239	204	$110.00	$43.39
92004 New patient complete exam of visual system	149	149	$220.00	$159.55
92083 Exam of visual field with extended testing	144	143	$160.00	$67.62
66821 Removal of recurring cataract in lens capsule using a laser	70	64	$600.00	$356.31
66982 Complex removal of cataract with insertion of prosthetic lens	68	49	$2000.00	$787.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	58	$175.00	$136.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$250.00	$177.09
65855 Laser repair to improve eye fluid flow	35	24	$650.00	$216.72
66030 Injection of medication into eye	31	19	$260.00	$193.45
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$65.00	$29.79
76514 Ultrasound scan of cornea to determine thickness	27	27	$45.00	$11.59
76519 Ultrasound of eye for determination of lens power	22	16	$155.68	$61.59
0191T Internal insertion of eye fluid drainage device	20	12	$1000.00	$370.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	713	663	$205.00	$133.17
92012 Established patient problem focused exam of visual system	672	429	$130.00	$93.75
92133 Imaging of optic nerve	421	397	$125.00	$39.26
92250 Photography of the retina	338	307	$140.00	$47.47
J7351 Injection, bimatoprost, intracameral implant, 1 microgram	330	23	$210.00	$206.35
92136 Measurement of corneal curvature and depth of eye	224	142	$144.53	$51.66
66984 Removal of cataract with insertion of lens	186	119	$1900.00	$578.21
92134 Imaging of retina	179	154	$110.00	$43.06
92004 New patient complete exam of visual system	88	88	$220.00	$159.13
92083 Exam of visual field with extended testing	82	82	$160.00	$67.33
66821 Removal of recurring cataract in lens capsule using a laser	55	47	$600.00	$345.77
66030 Injection of medication into eye	48	29	$214.58	$186.35
66982 Complex removal of cataract with insertion of prosthetic lens	37	29	$2000.00	$793.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$255.00	$218.57
65855 Laser repair to improve eye fluid flow	33	25	$650.00	$219.24
92020 Examination of cornea and iris using lens device and slit lamp	30	28	$65.00	$29.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$205.21	$154.07
0191T Internal insertion of eye fluid drainage device	22	14	$1000.00	$352.59
76514 Ultrasound scan of cornea to determine thickness	14	14	$45.00	$11.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$175.00	$114.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	926	866	$205.00	$132.61
92012 Established patient problem focused exam of visual system	858	554	$130.00	$92.62
92133 Imaging of optic nerve	720	532	$125.00	$38.92
92136 Measurement of corneal curvature and depth of eye	314	208	$144.35	$56.02
66984 Removal of cataract with insertion of lens	302	184	$1900.00	$664.33
92134 Imaging of retina	217	195	$110.00	$42.50
92004 New patient complete exam of visual system	162	161	$220.00	$158.82
92083 Exam of visual field with extended testing	121	121	$160.00	$67.84
92020 Examination of cornea and iris using lens device and slit lamp	66	65	$65.00	$28.96
66982 Complex removal of cataract with insertion of prosthetic lens	62	47	$2000.00	$833.58
66821 Removal of recurring cataract in lens capsule using a laser	61	52	$600.00	$342.22
65855 Laser repair to improve eye fluid flow	61	41	$650.00	$213.46
92250 Photography of the retina	50	48	$140.00	$52.46
76514 Ultrasound scan of cornea to determine thickness	38	38	$45.00	$12.20
0191T Internal insertion of eye fluid drainage device	37	24	$1000.00	$347.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$175.00	$113.73
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$125.00	$75.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$200.00	$152.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$255.00	$215.84
76512 Ultrasound of eye disease, growth, or structure	11	11	$194.32	$61.59
76519 Ultrasound of eye for determination of lens power	11	11	$180.00	$70.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	920	835	$205.00	$128.62
92012 Established patient problem focused exam of visual system	779	508	$130.00	$89.13
92133 Imaging of optic nerve	702	532	$125.00	$38.52
92136 Measurement of corneal curvature and depth of eye	302	195	$146.41	$59.87
66984 Removal of cataract with insertion of lens	263	156	$1900.00	$642.38
92083 Exam of visual field with extended testing	171	170	$160.00	$66.12
92004 New patient complete exam of visual system	170	170	$220.00	$149.76
92134 Imaging of retina	162	143	$110.00	$41.91
66821 Removal of recurring cataract in lens capsule using a laser	75	63	$600.00	$339.48
92020 Examination of cornea and iris using lens device and slit lamp	49	47	$65.00	$26.73
76514 Ultrasound scan of cornea to determine thickness	48	48	$45.00	$14.73
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$125.00	$74.45
65855 Laser repair to improve eye fluid flow	36	25	$650.00	$212.82
0191T Internal insertion of eye fluid drainage device	36	21	$1000.00	$336.13
66982 Complex removal of cataract with insertion of prosthetic lens	36	29	$2000.00	$812.36
92250 Photography of the retina	25	25	$140.00	$58.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$175.00	$109.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$200.00	$146.96
92225 Examination of eye by ophthalmoscope with retinal drawing	13	13	$50.00	$27.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$255.00	$209.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	929	798	$205.00	$128.66
92012 Established patient problem focused exam of visual system	804	508	$130.00	$88.93
92133 Imaging of optic nerve	745	531	$125.00	$39.04
66984 Removal of cataract with insertion of lens	255	158	$1900.00	$653.75
92136 Measurement of corneal curvature and depth of eye	239	170	$152.10	$71.83
92083 Exam of visual field with extended testing	239	235	$160.00	$66.93
92004 New patient complete exam of visual system	159	159	$220.00	$155.01
92134 Imaging of retina	149	128	$110.00	$42.79
66821 Removal of recurring cataract in lens capsule using a laser	104	86	$600.00	$342.77
92020 Examination of cornea and iris using lens device and slit lamp	63	58	$65.00	$27.50
76514 Ultrasound scan of cornea to determine thickness	58	58	$45.00	$14.69
65855 Laser repair to improve eye fluid flow	55	38	$650.00	$215.73
66982 Complex removal of cataract with insertion of prosthetic lens	46	37	$2000.00	$812.30
0191T Internal insertion of eye fluid drainage device	38	23	$1000.00	$439.77
92250 Photography of the retina	26	26	$140.00	$69.47
92275 Recording of retinal electrical responses to external stimuli	17	17	$250.00	$156.40
95930 Measurement of nerve conduction using visual stimulation testing with report	17	17	$200.00	$137.75
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$125.00	$71.42
76519 Ultrasound of eye for determination of lens power	11	11	$180.00	$88.98

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 46264

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

3067874 (MA)

Commercial Insurance / Payer ID Aetna

123629 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

J04563 (MA)

Commercial Insurance / Payer ID Tufts

046264 (MA)

Commercial Insurance / Payer ID Massachusetts License

46264 (MA)

Hospital & Practice Group Affiliations

Center For Eye Excellence

1515 Allen St, Springfield, MA 011181803

Phone: 4137820030

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Frank Won , OD

Optometrist

NPI 1285751420

Doctor of Optometry

Dr. Maryann Rubis , OD

Optometrist

NPI 1659380194

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 July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1515 ALLEN ST, SUITE E, SPRINGFIELD, MA 011181803 (Tel: 4137820030)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1515 ALLEN ST, SUITE E, SPRINGFIELD, MA 011181803 (Tel: 4137820030)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN PAPALE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #46264 in MA)

🟢

Initial NPI Registration & Enumeration August 05, 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: 1760491377

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: July 09, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1515 Allen St, Suite E

Springfield, MA 011181803

Phone: 4137820030

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.