Active NPI 1316945108 Individual Practitioner Male Practitioner

Dr. Paul E. Naftali , OD

Optometrist • Madison, NJ

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Paul Naftali, OD is a registered Optometrist practitioner in Madison, NJ. With approximately 37 years of clinical practice since graduating from University Of California - School Of Optometry in 1989, Dr. Naftali provides healthcare services at the registered practice location at 311 MAIN ST.

Dr. Naftali is affiliated with Paul Naftali O D P A and accepts Medicare assignment.

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

311 Main St

Madison, NJ 079402338

Telephone 9733771060

Fax 9736601133

Associated Practice Facility / Clinic

🏢 Paul Naftali O D P A Facility NPI 1508053760

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Madison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +13.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Madison, NJ (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Naftali (37 Years) 37 Yrs

Madison Specialty Average (24.0 Years) 24.0 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	62	42	$100.00	$98.43
92014 Established patient complete exam of visual system	50	50	$165.00	$139.17
92004 New patient complete exam of visual system	26	26	$165.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$145.00	$139.80
92250 Photography of the retina	21	21	$69.86	$40.61
92133 Imaging of optic nerve	11	11	$50.00	$39.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	100	96	$149.00	$142.44
92250 Photography of the retina	47	47	$91.28	$41.78
92012 Established patient problem focused exam of visual system	29	24	$108.38	$101.18
92134 Imaging of retina	22	20	$55.00	$45.17
92133 Imaging of optic nerve	20	19	$50.00	$40.62
92004 New patient complete exam of visual system	17	17	$149.94	$147.74
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$103.71	$99.74
92083 Exam of visual field with extended testing	11	11	$75.00	$71.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	75	$147.00	$143.20
92250 Photography of the retina	35	35	$92.00	$42.30
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$104.00	$102.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$189.00	$186.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	162	$144.48	$143.64
92250 Photography of the retina	73	71	$92.00	$45.31
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$102.53	$101.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$188.87	$188.10
92133 Imaging of optic nerve	26	25	$50.00	$42.34
92134 Imaging of retina	26	26	$55.00	$47.11
92083 Exam of visual field with extended testing	15	13	$75.00	$74.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	87	86	$165.00	$144.17
92250 Photography of the retina	84	79	$92.00	$51.71
92012 Established patient problem focused exam of visual system	69	49	$96.00	$95.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$120.55	$119.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$120.00	$119.79
92004 New patient complete exam of visual system	14	14	$167.00	$166.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	136	134	$165.00	$138.17
92250 Photography of the retina	119	114	$92.00	$55.56
92012 Established patient problem focused exam of visual system	111	71	$96.00	$91.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$120.00	$115.29
92083 Exam of visual field with extended testing	23	21	$75.00	$70.77
92004 New patient complete exam of visual system	21	21	$167.00	$161.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$120.00	$114.50
92133 Imaging of optic nerve	15	15	$50.00	$39.73
92134 Imaging of retina	14	14	$55.00	$44.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	171	169	$165.00	$134.30
92012 Established patient problem focused exam of visual system	123	75	$96.00	$93.40
92250 Photography of the retina	119	112	$92.00	$61.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$120.00	$112.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$120.00	$112.96
92004 New patient complete exam of visual system	22	22	$167.00	$160.19
92083 Exam of visual field with extended testing	18	18	$75.00	$69.26
92133 Imaging of optic nerve	15	14	$50.00	$39.78
92134 Imaging of retina	14	13	$55.00	$44.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	175	173	$165.00	$130.27
92012 Established patient problem focused exam of visual system	134	81	$96.00	$89.79
92250 Photography of the retina	109	103	$92.00	$70.88
92083 Exam of visual field with extended testing	28	26	$75.00	$63.86
92133 Imaging of optic nerve	25	20	$50.00	$39.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$120.00	$111.85
92134 Imaging of retina	23	22	$55.00	$42.96
92004 New patient complete exam of visual system	21	21	$167.00	$155.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$120.00	$111.79

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NJ 27OA00510800

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.

Hospital & Practice Group Affiliations

Paul Naftali O D P A

311 Main St, Madison, NJ 079402338

Phone: 9733771060

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Sonya Malani , OD

Optometrist

NPI 1043682297

Doctor of Optometry

Dr. James Lacotte , OD

Optometrist - Corneal and Contact Management

NPI 1215164991

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 May 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2013

Registered at 311 MAIN ST, MADISON, NJ 079402338 (Tel: 9733771060)

📍

Updated Business Mailing Address May 16, 2013

Registered at 311 MAIN ST, MADISON, NJ 079402338 (Tel: 2013706858)

👤

Provider Name / Credentials Updated May 16, 2013

Recorded as PAUL NAFTALI, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2013

Optometrist (License #27OA00510800 in NJ)

🟢

Initial NPI Registration & Enumeration July 14, 2005

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: 1316945108

Entity Type:

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

Enumeration Date: July 14, 2005

Last Update: May 16, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

311 Main St

Madison, NJ 079402338

Phone: 2013706858

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.