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Active NPI 1033213145 Individual Practitioner Female Practitioner

Dr. Teresa L Stone , OD

Optometrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Teresa Stone, OD is a certified Optometrist practicing in Worcester, MA. With approximately 31 years of clinical experience since graduating from New England College Of Optometry in 1995, Dr. Stone delivers high-quality medical care to the local community at 5 NEPONSET ST.

Dr. Stone is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

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

New England College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Worcester, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +9.3 yrs vs City Avg
City Avg: 21.7 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
60 Specialists

Practicing in Worcester, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stone (31 Years) 31 Yrs
Worcester Specialty Average (21.7 Years) 21.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes
205 183 $211.00 $91.88
92014 Established patient complete exam of visual system
106 106 $352.00 $127.46
92133 Imaging of optic nerve
56 54 $121.00 $36.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
30 30 $305.00 $112.59
92083 Exam of visual field with extended testing
30 29 $245.00 $65.14
92004 New patient complete exam of visual system
28 28 $420.00 $151.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 20 $130.00 $57.50
92134 Imaging of retina
13 13 $121.00 $39.14

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 3931

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0312584 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
793032 (MA)
Commercial Insurance / Payer ID Harvard Pilgrim Health Ca
151572 (MA)

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

5 Neponset St, Worcesteer, MA 016062714

Phone: 5085952300

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1053434217

Doctor of Optometry

NPI 1194901041

Doctor of Medicine (M.D.)

NPI 1457327728

Doctor of Medicine (M.D.)

NPI 1518942929

Doctor of Optometry

Dr. Olga Ceron , MD

Ophthalmology

NPI 1639137532

Doctor of Medicine (M.D.)

NPI 1649289133

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 March 26, 2019

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

📍
Updated Practice Location September 26, 2018

Registered at 370 LUNENBURG ST, FITCHBURG, MA 014204541 (Tel: 9783457398)

📍
Updated Business Mailing Address September 26, 2018

Registered at 5 NEPONSET ST FL STREET12, WORCESTER, MA 016062714 (Tel: 9783457398)

NPI Profile Active November 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2007

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

📍
Updated Business Mailing Address November 21, 2007

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

👤
Provider Name / Credentials Updated November 21, 2007

Recorded as TERESA STONE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2007

Optometrist (License #3931 in MA)

🟢
Initial NPI Registration & Enumeration September 11, 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: 1033213145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2006
Last Update: March 26, 2019
Sole Proprietor: No

Mailing Address

5 Neponset St Fl Street12

Worcester, MA 016062714

Phone: 9783457398

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.