Active NPI 1457327728 Individual Practitioner Male Practitioner

Dr. Eugenio M Candal , MD

Ophthalmology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eugenio Candal, MD is a certified Ophthalmology practicing in Worcester, MA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Candal delivers high-quality medical care to the local community at 5 NEPONSET ST.

Dr. Candal maintains professional affiliations with Atrius Health Inc, Reliant Medical Group Inc, Eye Care And Laser Surgery Of Newton-Wellesley and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

5 Neponset St

Worcester, MA 016062714

Telephone 5088569599

Fax 5088544998

Associated Practice Facility / Clinic

🏢 Reliant Medical Group, Inc Facility NPI 1720017528

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +3.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

43 Specialists

Practicing in Worcester, MA (841 Statewide)

Telehealth Adoption Rate

2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Candal (31 Years) 31 Yrs

Worcester Specialty Average (27.6 Years) 27.6 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	307	294	$389.50	$137.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	268	$382.19	$137.42
92012 Established patient problem focused exam of visual system	274	228	$276.41	$97.30
66984 Removal of cataract with insertion of lens	237	151	$1839.30	$560.22
92136 Measurement of corneal curvature and depth of eye	181	145	$165.15	$45.77
92133 Imaging of optic nerve	165	153	$117.94	$38.01
92004 New patient complete exam of visual system	159	159	$472.21	$164.09
92083 Exam of visual field with extended testing	97	96	$228.16	$67.70
92134 Imaging of retina	94	92	$126.15	$43.93
68761 Closure of tear duct opening using plug	69	27	$451.43	$121.74
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$279.46	$98.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$512.81	$179.63
92250 Photography of the retina	17	17	$120.04	$41.25
92002 New patient problem focused exam of visual system	15	15	$266.66	$93.30
92285 Photography of content of eyes	13	13	$77.26	$24.91
67820 Removal of eyelashes using forceps	12	12	$64.82	$20.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	500	460	$352.00	$130.69
92012 Established patient problem focused exam of visual system	339	258	$245.00	$93.10
92133 Imaging of optic nerve	314	276	$121.00	$36.33
92083 Exam of visual field with extended testing	267	248	$245.00	$64.89
66984 Removal of cataract with insertion of lens	239	152	$2012.00	$549.91
92136 Measurement of corneal curvature and depth of eye	205	155	$181.34	$42.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	73	$313.00	$130.91
92134 Imaging of retina	62	59	$121.00	$41.65
99213 Established patient office or other outpatient visit, typically 15 minutes	56	54	$211.00	$92.88
92004 New patient complete exam of visual system	50	50	$420.00	$154.94
66821 Removal of recurring cataract in lens capsule using a laser	39	38	$946.56	$359.61
92002 New patient problem focused exam of visual system	19	19	$235.00	$88.82
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$68.00	$28.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	479	433	$352.00	$132.89
92133 Imaging of optic nerve	309	272	$119.44	$37.26
92083 Exam of visual field with extended testing	307	270	$244.12	$66.21
99213 Established patient office or other outpatient visit, typically 15 minutes	202	171	$211.00	$94.36
92136 Measurement of corneal curvature and depth of eye	180	131	$181.54	$44.89
66984 Removal of cataract with insertion of lens	175	115	$2012.00	$556.25
92012 Established patient problem focused exam of visual system	112	99	$242.54	$93.83
92004 New patient complete exam of visual system	84	84	$414.29	$154.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	59	$313.00	$133.12
66821 Removal of recurring cataract in lens capsule using a laser	37	37	$997.73	$383.04
92134 Imaging of retina	34	32	$120.24	$42.45
66982 Complex removal of cataract with insertion of prosthetic lens	24	19	$2683.00	$766.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	21	$65.00	$24.67
92020 Examination of cornea and iris using lens device and slit lamp	20	20	$68.00	$29.30
92002 New patient problem focused exam of visual system	14	14	$235.00	$90.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	459	418	$351.79	$133.29
92083 Exam of visual field with extended testing	291	264	$235.00	$67.13
92133 Imaging of optic nerve	285	266	$108.00	$37.06
66984 Removal of cataract with insertion of lens	239	150	$2012.00	$565.12
99213 Established patient office or other outpatient visit, typically 15 minutes	228	189	$211.00	$95.76
92136 Measurement of corneal curvature and depth of eye	222	154	$174.56	$48.12
92012 Established patient problem focused exam of visual system	157	125	$220.00	$95.20
92004 New patient complete exam of visual system	127	127	$390.00	$158.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99	85	$65.00	$24.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$313.00	$135.79
92134 Imaging of retina	34	32	$108.00	$42.85
66821 Removal of recurring cataract in lens capsule using a laser	30	29	$908.92	$355.57
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$68.00	$29.46
66982 Complex removal of cataract with insertion of prosthetic lens	19	17	$2683.00	$756.05
92002 New patient problem focused exam of visual system	18	18	$215.00	$91.54
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	13	13	$214.00	$142.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	315	294	$320.00	$133.25
92133 Imaging of optic nerve	286	262	$107.73	$37.58
92083 Exam of visual field with extended testing	231	210	$233.58	$67.07
99213 Established patient office or other outpatient visit, typically 15 minutes	192	163	$211.00	$78.88
66984 Removal of cataract with insertion of lens	151	98	$1938.00	$573.53
92136 Measurement of corneal curvature and depth of eye	137	96	$172.42	$54.02
92004 New patient complete exam of visual system	127	127	$390.00	$159.20
92012 Established patient problem focused exam of visual system	124	107	$220.00	$94.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	99	$313.00	$114.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99	88	$57.00	$24.67
66821 Removal of recurring cataract in lens capsule using a laser	32	32	$930.77	$367.66
92134 Imaging of retina	31	31	$106.74	$42.43
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$68.00	$29.29
92002 New patient problem focused exam of visual system	15	15	$215.00	$88.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	399	357	$320.00	$132.68
92133 Imaging of optic nerve	328	293	$108.00	$36.41
92083 Exam of visual field with extended testing	303	271	$235.00	$67.77
99213 Established patient office or other outpatient visit, typically 15 minutes	266	187	$211.00	$77.50
92136 Measurement of corneal curvature and depth of eye	207	132	$161.07	$55.42
66984 Removal of cataract with insertion of lens	202	122	$1938.00	$671.58
92004 New patient complete exam of visual system	167	167	$390.00	$157.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	140	$313.00	$112.16
92012 Established patient problem focused exam of visual system	131	109	$220.00	$92.82
66821 Removal of recurring cataract in lens capsule using a laser	40	40	$943.88	$368.02
92134 Imaging of retina	31	31	$108.00	$41.41
92002 New patient problem focused exam of visual system	23	23	$215.00	$88.46
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$68.00	$27.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$437.00	$162.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	500	423	$310.00	$132.19
99213 Established patient office or other outpatient visit, typically 15 minutes	331	236	$201.00	$76.35
92133 Imaging of optic nerve	319	294	$108.00	$37.59
92083 Exam of visual field with extended testing	286	259	$235.00	$67.85
66984 Removal of cataract with insertion of lens	200	119	$1938.00	$668.00
92136 Measurement of corneal curvature and depth of eye	188	124	$155.43	$58.79
92004 New patient complete exam of visual system	155	155	$374.00	$157.89
92012 Established patient problem focused exam of visual system	131	107	$214.00	$92.43
66821 Removal of recurring cataract in lens capsule using a laser	31	31	$1001.39	$389.11
92134 Imaging of retina	25	23	$108.00	$43.88
92002 New patient problem focused exam of visual system	20	20	$203.00	$87.94
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$68.00	$28.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	537	471	$310.00	$124.43
99213 Established patient office or other outpatient visit, typically 15 minutes	295	226	$188.37	$73.30
92133 Imaging of optic nerve	275	255	$108.00	$35.82
92083 Exam of visual field with extended testing	242	225	$235.00	$65.12
66984 Removal of cataract with insertion of lens	204	124	$1938.00	$644.24
92136 Measurement of corneal curvature and depth of eye	202	135	$166.16	$66.50
92012 Established patient problem focused exam of visual system	169	132	$214.00	$86.21
92004 New patient complete exam of visual system	70	70	$374.00	$150.12
66821 Removal of recurring cataract in lens capsule using a laser	50	50	$1023.58	$378.66
66982 Complex removal of cataract with insertion of prosthetic lens	25	19	$2683.00	$799.45
92020 Examination of cornea and iris using lens device and slit lamp	24	24	$68.00	$27.14
92002 New patient problem focused exam of visual system	19	19	$203.00	$82.09
92134 Imaging of retina	18	18	$108.00	$41.34

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 219237

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

2023393 (MA)

Commercial Insurance / Payer ID Champus

042472266

Commercial Insurance / Payer ID Aetna

7635482

Commercial Insurance / Payer ID Blue Care Elect

J26947

Commercial Insurance / Payer ID One Health Plan

042472266

Commercial Insurance / Payer ID Three Rivers

042472266

Commercial Insurance / Payer ID Harvard Pilgrim Hlthcare

AA45743

Commercial Insurance / Payer ID Tricare

042472266

Commercial Insurance / Payer ID Cigna Health Plan

3663592

Commercial Insurance / Payer ID Fallon Comm Health Plan

93021

Hospital & Practice Group Affiliations

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Eye Care And Laser Surgery Of Newton-Wellesley

40 Walnut St, Wellesley, MA 024812175

Phone: 6177963937

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Reliant Medical Group Inc

5 Neponset St, Worcesteer, MA 016062714

Phone: 5085952300

Atrius Health Inc

1 Lyons St, Dedham, MA 020265599

Phone: 7813291400

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Teresa Stone , OD

Optometrist

NPI 1033213145

Doctor of Optometry

Dr. Kurtis Zimmerman , OD

Optometrist

NPI 1053434217

Doctor of Optometry

Dr. Bradley Daines , MD

Ophthalmology

NPI 1194901041

Doctor of Medicine (M.D.)

Dr. Jeffrey Underkoffler , OD

Optometrist

NPI 1518942929

Doctor of Optometry

Dr. Olga Ceron , MD

Ophthalmology

NPI 1639137532

Doctor of Medicine (M.D.)

Dr. Roberto Cavalieros , MD

Ophthalmology

NPI 1649289133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 26, 2018

Registered at 5 NEPONSET ST, WORCESTER, MA 016062714 (Tel: 5088569599)

📍

Updated Business Mailing Address September 26, 2018

Registered at 5 NEPONSET ST FL STREET12, WORCESTER, MA 016062714 (Tel: 5088569599)

✅

NPI Profile Active January 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2009

Registered at 135 GOLD STAR BLVD, WORCESTER, MA 01606 (Tel: 5088569599)

📍

Updated Business Mailing Address January 30, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5088569599)

👤

Provider Name / Credentials Updated January 30, 2009

Recorded as EUGENIO CANDAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Ophthalmology (License #219237 in MA)

🟢

Initial NPI Registration & Enumeration February 27, 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: 1457327728

Entity Type:

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

Enumeration Date: February 27, 2006

Last Update: September 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Neponset St Fl Street12

Worcester, MA 016062714

Phone: 5088569599

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.