Active NPI 1285711705 Individual Practitioner Male Practitioner

Dr. Nilesh M. Sheth , MD, MPH

Ophthalmology • Stoneham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nilesh Sheth, MD, MPH is a certified Ophthalmology practicing in Stoneham, MA. With approximately 30 years of clinical experience since graduating from Wayne State University School Of Medicine in 1996, Dr. Sheth delivers high-quality medical care to the local community at 3 WOODLAND RD.

Dr. Sheth is affiliated with Clear Vision Eye Center Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3 Woodland Rd
Suite 120

Stoneham, MA 021801702

Telephone 7819790960

Fax 7819790618

Associated Practice Facility / Clinic

🏢 Family Care Centers Pc Facility NPI 1750363347

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Stoneham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +14.5 yrs vs City Avg

City Avg: 15.5 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Stoneham, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (30 Years) 30 Yrs

Stoneham Specialty Average (15.5 Years) 15.5 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
92012 Established patient problem focused exam of visual system	332	175	$210.23	$105.48
92014 Established patient complete exam of visual system	263	254	$300.40	$147.79
92250 Photography of the retina	171	164	$210.00	$43.63
92134 Imaging of retina	138	127	$195.00	$46.66
66984 Removal of cataract with insertion of lens	112	75	$3445.00	$620.21
92283 Extended color vision examination	89	87	$135.00	$66.79
92083 Exam of visual field with extended testing	81	79	$255.00	$67.41
92133 Imaging of optic nerve	78	78	$190.00	$39.07
92136 Measurement of corneal curvature and depth of eye	73	73	$390.00	$54.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$300.00	$146.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$470.00	$190.44
65778 Insertion of amniotic membrane to eye surface	21	12	$3190.48	$1357.93
66984 Removal of cataract with insertion of lens	13	12	$3445.00	$625.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	287	147	$224.56	$101.85
92014 Established patient complete exam of visual system	245	234	$316.73	$142.53
92250 Photography of the retina	138	136	$210.00	$42.05
92134 Imaging of retina	111	103	$195.00	$45.16
92133 Imaging of optic nerve	88	87	$190.00	$38.60
92283 Extended color vision examination	84	80	$143.18	$63.37
92083 Exam of visual field with extended testing	76	75	$166.36	$63.81
66984 Removal of cataract with insertion of lens	64	43	$3445.00	$595.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$470.00	$182.06
92136 Measurement of corneal curvature and depth of eye	41	41	$390.00	$52.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	30	$300.00	$140.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	281	156	$234.97	$102.95
92014 Established patient complete exam of visual system	241	232	$334.74	$145.21
92250 Photography of the retina	159	156	$210.00	$42.56
92133 Imaging of optic nerve	97	96	$190.00	$39.09
92283 Extended color vision examination	94	91	$142.12	$64.59
92134 Imaging of retina	91	87	$195.00	$45.91
92083 Exam of visual field with extended testing	85	84	$75.07	$64.43
66984 Removal of cataract with insertion of lens	38	24	$3445.00	$594.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$300.00	$140.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$470.00	$185.90
92136 Measurement of corneal curvature and depth of eye	29	29	$390.00	$55.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	292	260	$334.79	$147.20
92012 Established patient problem focused exam of visual system	292	151	$235.07	$104.85
92250 Photography of the retina	164	157	$210.00	$45.67
92134 Imaging of retina	97	85	$195.00	$47.21
92283 Extended color vision examination	96	92	$142.05	$66.07
92133 Imaging of optic nerve	90	90	$190.00	$39.53
92083 Exam of visual field with extended testing	88	88	$75.00	$66.08
92136 Measurement of corneal curvature and depth of eye	35	35	$390.00	$63.90
66984 Removal of cataract with insertion of lens	29	19	$3445.00	$618.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$300.00	$146.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$470.00	$188.89
76514 Ultrasound scan of cornea to determine thickness	12	11	$80.00	$12.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	277	250	$313.28	$145.19
92012 Established patient problem focused exam of visual system	195	114	$219.74	$102.35
92250 Photography of the retina	145	141	$208.57	$52.03
92133 Imaging of optic nerve	90	90	$190.00	$39.62
92283 Extended color vision examination	88	88	$138.19	$63.29
92083 Exam of visual field with extended testing	86	86	$176.67	$65.59
92134 Imaging of retina	82	73	$195.00	$46.74
66984 Removal of cataract with insertion of lens	33	20	$3445.00	$616.34
92136 Measurement of corneal curvature and depth of eye	33	33	$390.00	$72.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$470.00	$184.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$300.00	$119.62
76514 Ultrasound scan of cornea to determine thickness	19	16	$80.00	$13.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	303	274	$300.00	$142.95
92012 Established patient problem focused exam of visual system	239	135	$210.00	$100.54
92250 Photography of the retina	146	143	$193.79	$57.34
92133 Imaging of optic nerve	96	93	$175.32	$38.29
92083 Exam of visual field with extended testing	91	88	$237.91	$66.30
92134 Imaging of retina	77	74	$179.82	$45.60
92283 Extended color vision examination	72	71	$125.00	$63.45
92136 Measurement of corneal curvature and depth of eye	44	42	$340.86	$78.09
66984 Removal of cataract with insertion of lens	41	26	$3408.78	$693.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$282.18	$121.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$440.91	$182.63
66982 Complex removal of cataract with insertion of prosthetic lens	21	13	$3753.86	$888.60
92004 New patient complete exam of visual system	17	17	$311.18	$170.69
66821 Removal of recurring cataract in lens capsule using a laser	13	11	$1115.00	$355.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	380	311	$300.00	$141.28
92012 Established patient problem focused exam of visual system	231	146	$210.00	$98.55
92250 Photography of the retina	127	122	$164.06	$64.54
92134 Imaging of retina	118	97	$138.00	$46.25
92133 Imaging of optic nerve	96	89	$139.00	$38.64
92083 Exam of visual field with extended testing	91	83	$205.00	$66.67
92283 Extended color vision examination	68	63	$95.00	$63.45
92136 Measurement of corneal curvature and depth of eye	44	43	$266.00	$86.52
66984 Removal of cataract with insertion of lens	35	22	$3310.00	$694.42
92004 New patient complete exam of visual system	26	26	$254.00	$165.43
92025 Ct scan of cornea	19	17	$118.00	$40.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$216.00	$118.86
66821 Removal of recurring cataract in lens capsule using a laser	18	12	$1100.00	$351.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	401	300	$300.00	$136.34
92012 Established patient problem focused exam of visual system	274	153	$210.00	$94.40
92250 Photography of the retina	138	131	$163.80	$73.79
92134 Imaging of retina	130	89	$138.00	$45.42
92133 Imaging of optic nerve	99	95	$139.00	$38.20
92083 Exam of visual field with extended testing	95	92	$205.00	$70.31
66984 Removal of cataract with insertion of lens	44	27	$3310.00	$699.08
92136 Measurement of corneal curvature and depth of eye	41	39	$263.66	$96.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$216.00	$116.56
92004 New patient complete exam of visual system	28	28	$254.00	$163.88
92283 Extended color vision examination	25	24	$82.76	$64.27
66821 Removal of recurring cataract in lens capsule using a laser	21	14	$1100.00	$338.85

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 218562

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

4673750 (MI)

Hospital & Practice Group Affiliations

Clear Vision Eye Center Inc

3 Woodland Rd, Stoneham, MA 021801710

Phone: 7819790960

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Sonya Sheth , OD

Optometrist

NPI 1144398645

Doctor of Optometry

Dr. Chantal Mccarron , OD

Optometrist

NPI 1205906104

Doctor of Optometry

Dr. Audra Bake , OD

Optometrist

NPI 1700032927

Doctor of Optometry

Dr. Wilson Horsley , MD

Ophthalmology

NPI 1831272483

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2012

Registered at 3 WOODLAND RD, SUITE 120, STONEHAM, MA 021801702 (Tel: 7819790960)

📍

Updated Business Mailing Address September 25, 2012

Registered at 3 WOODLAND RD, SUITE 120, STONEHAM, MA 021801702 (Tel: 7819790960)

👤

Provider Name / Credentials Updated September 25, 2012

Recorded as NILESH SHETH, M.D., MPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Ophthalmology (License #218562 in MA)

🟢

Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285711705

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: September 25, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Woodland Rd, Suite 120

Stoneham, MA 021801702

Phone: 7819790960

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.