Active NPI 1518942929 Individual Practitioner Male Practitioner

Dr. Jeffrey R Underkoffler , OD

Optometrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Underkoffler, OD is a certified Optometrist practicing in Worcester, MA. With approximately 39 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1987, Dr. Underkoffler delivers high-quality medical care to the local community at 5 NEPONSET ST.

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

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete 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 5088544997

Associated Practice Facility / Clinic

🏢 Reliant Medical Group, Inc Facility NPI 1720017528

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1987

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

39 Yrs +17.3 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

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Underkoffler (39 Years) 39 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
92014 Established patient complete exam of visual system	105	105	$352.00	$127.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	90	$313.00	$129.87
99213 Established patient office or other outpatient visit, typically 15 minutes	90	84	$211.00	$90.82
92004 New patient complete exam of visual system	24	24	$420.00	$146.23
92133 Imaging of optic nerve	24	23	$121.00	$35.01
92083 Exam of visual field with extended testing	24	23	$245.00	$65.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$455.00	$162.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$130.00	$57.60
92134 Imaging of retina	18	16	$121.00	$39.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$305.00	$112.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	144	144	$352.00	$129.47
99213 Established patient office or other outpatient visit, typically 15 minutes	89	77	$211.00	$92.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	71	$313.00	$130.76
92004 New patient complete exam of visual system	26	26	$420.00	$155.26
92083 Exam of visual field with extended testing	23	22	$245.00	$65.17
92133 Imaging of optic nerve	17	16	$121.00	$36.78
92134 Imaging of retina	12	12	$121.00	$40.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$455.00	$169.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	188	188	$352.00	$132.33
99213 Established patient office or other outpatient visit, typically 15 minutes	85	79	$211.00	$93.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$313.00	$132.94
92004 New patient complete exam of visual system	39	39	$415.38	$157.44
92133 Imaging of optic nerve	18	17	$120.28	$37.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$129.44	$58.94
92083 Exam of visual field with extended testing	17	17	$243.82	$66.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$300.43	$116.63
92134 Imaging of retina	13	12	$119.00	$41.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	155	155	$351.79	$133.35
99213 Established patient office or other outpatient visit, typically 15 minutes	136	132	$211.00	$94.83
92004 New patient complete exam of visual system	30	30	$390.00	$159.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$313.00	$135.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$125.00	$58.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$289.00	$112.71
92083 Exam of visual field with extended testing	20	17	$231.45	$65.95
92134 Imaging of retina	13	12	$108.00	$38.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	136	136	$320.00	$131.30
99213 Established patient office or other outpatient visit, typically 15 minutes	74	71	$211.00	$78.35
92004 New patient complete exam of visual system	34	34	$390.00	$159.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$313.00	$114.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$289.00	$113.44
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$204.00	$80.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	163	$320.00	$130.86
99213 Established patient office or other outpatient visit, typically 15 minutes	97	87	$211.00	$77.75
92004 New patient complete exam of visual system	33	33	$390.00	$158.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$313.00	$113.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$118.00	$47.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	182	179	$310.00	$132.34
99213 Established patient office or other outpatient visit, typically 15 minutes	120	101	$201.00	$76.39
92004 New patient complete exam of visual system	45	45	$374.00	$158.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$275.00	$110.52
92083 Exam of visual field with extended testing	18	17	$221.94	$64.28
92133 Imaging of optic nerve	12	11	$108.00	$38.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$298.00	$113.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	148	147	$310.00	$129.00
99213 Established patient office or other outpatient visit, typically 15 minutes	57	51	$188.96	$75.03
92004 New patient complete exam of visual system	37	37	$374.00	$155.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$271.33	$111.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$270.00	$111.81

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 3386

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

0323837 (MA)

Commercial Insurance / Payer ID Cigna Health Plan

B21211501

Commercial Insurance / Payer ID Welfare

0323837

Commercial Insurance / Payer ID Fallon Community Health

61202

Commercial Insurance / Payer ID Blue Shield Hmo Blue

W15817

Commercial Insurance / Payer ID Private Healthcare System

042472266

Commercial Insurance / Payer ID Cigna Health Plan

5901866

Commercial Insurance / Payer ID Harvard Pilgrim Healthcar

AA3020

Commercial Insurance / Payer ID Mvp Health Care

786730

Commercial Insurance / Payer ID Childrens Medical Securit

35371

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

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. Eugenio Candal , MD

Ophthalmology

NPI 1457327728

Doctor of Medicine (M.D.)

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 March 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2009

Registered at 135 GOLD STAR BLVD, WORCESTER, MA 016062738 (Tel: 5088569599)

📍

Updated Business Mailing Address March 03, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: 5088569599)

👤

Provider Name / Credentials Updated March 03, 2009

Recorded as JEFFREY UNDERKOFFLER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2009

Optometrist (License #3386 in MA)

🟢

Initial NPI Registration & Enumeration December 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518942929

Entity Type:

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

Enumeration Date: December 08, 2005

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.