Active NPI 1609875251 Individual Practitioner Male Practitioner

Dr. Todd Owen Leventhal , MD

Ophthalmology • New Providence, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Leventhal, MD is a certified Ophthalmology practicing in New Providence, NJ. With approximately 34 years of clinical experience since graduating from Tufts University School Of Medicine in 1992, Dr. Leventhal delivers high-quality medical care to the local community at 571 CENTRAL AVE STE 101.

Dr. Leventhal is affiliated with Berkeley Heights Eye Group, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

571 Central Ave Ste 101

New Providence, NJ 079741547

Telephone 9084644600

Fax 9084644737

Associated Practice Facility / Clinic

🏢 Berkeley Heights Eye Group, Pa Facility NPI 1629272232

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in New Providence, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +10.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

6 Specialists

Practicing in New Providence, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leventhal (34 Years) 34 Yrs

New Providence Specialty Average (23.8 Years) 23.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	910	854	$139.57	$136.58
99213 Established patient office or other outpatient visit, typically 15 minutes	509	327	$99.94	$99.72
92134 Imaging of retina	416	383	$78.04	$45.75
92083 Exam of visual field with extended testing	262	250	$63.39	$63.43
92133 Imaging of optic nerve	256	252	$50.22	$39.72
92014 Established patient complete exam of visual system	195	195	$180.21	$139.93
76519 Ultrasound of eye for determination of lens power	115	77	$78.33	$62.66
66984 Removal of cataract with insertion of lens	94	62	$800.00	$605.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$167.40	$168.89
92020 Examination of cornea and iris using lens device and slit lamp	37	37	$32.02	$30.75
65855 Laser repair to improve eye fluid flow	31	22	$246.02	$248.16
92004 New patient complete exam of visual system	28	28	$150.46	$151.48
66982 Complex removal of cataract with insertion of prosthetic lens	22	16	$897.00	$829.29
66821 Removal of recurring cataract in lens capsule using a laser	22	18	$500.00	$377.15
76514 Ultrasound scan of cornea to determine thickness	17	17	$13.21	$11.97
92201 Extended exam of the back part of the eye with retinal drawing	11	11	$27.63	$27.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,053	1,014	$153.29	$143.97
99213 Established patient office or other outpatient visit, typically 15 minutes	621	384	$91.60	$90.91
92134 Imaging of retina	378	349	$76.78	$46.00
92083 Exam of visual field with extended testing	284	264	$63.87	$63.34
92133 Imaging of optic nerve	260	253	$38.79	$37.39
76519 Ultrasound of eye for determination of lens power	108	74	$78.15	$60.08
92004 New patient complete exam of visual system	105	105	$153.11	$151.86
66984 Removal of cataract with insertion of lens	103	63	$728.03	$608.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	79	$130.12	$127.44
92020 Examination of cornea and iris using lens device and slit lamp	66	66	$33.78	$30.85
65855 Laser repair to improve eye fluid flow	41	31	$248.56	$247.33
92201 Extended exam of the back part of the eye with retinal drawing	34	21	$27.96	$25.89
66821 Removal of recurring cataract in lens capsule using a laser	31	22	$401.52	$381.66
76514 Ultrasound scan of cornea to determine thickness	28	28	$14.92	$12.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,104	1,037	$147.02	$145.89
99213 Established patient office or other outpatient visit, typically 15 minutes	613	382	$99.98	$99.64
92134 Imaging of retina	393	353	$48.74	$46.90
92083 Exam of visual field with extended testing	257	239	$71.99	$71.74
92133 Imaging of optic nerve	220	217	$42.72	$41.41
92004 New patient complete exam of visual system	146	146	$174.41	$172.53
76519 Ultrasound of eye for determination of lens power	127	92	$78.89	$62.99
66984 Removal of cataract with insertion of lens	121	78	$750.38	$605.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	54	$145.30	$139.59
92020 Examination of cornea and iris using lens device and slit lamp	47	46	$31.90	$31.99
92201 Extended exam of the back part of the eye with retinal drawing	44	31	$40.64	$26.44
76514 Ultrasound scan of cornea to determine thickness	28	28	$13.47	$12.53
92012 Established patient problem focused exam of visual system	15	15	$104.78	$102.42
66821 Removal of recurring cataract in lens capsule using a laser	15	12	$453.47	$330.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	943	893	$144.30	$144.86
99213 Established patient office or other outpatient visit, typically 15 minutes	317	228	$83.43	$84.43
92012 Established patient problem focused exam of visual system	297	206	$101.13	$101.48
92083 Exam of visual field with extended testing	234	214	$58.70	$59.44
92133 Imaging of optic nerve	200	193	$42.70	$41.86
92134 Imaging of retina	190	177	$47.33	$47.44
92004 New patient complete exam of visual system	120	120	$171.91	$173.54
66984 Removal of cataract with insertion of lens	112	77	$724.36	$623.01
76519 Ultrasound of eye for determination of lens power	111	78	$77.63	$64.43
92020 Examination of cornea and iris using lens device and slit lamp	42	41	$32.63	$31.61
92201 Extended exam of the back part of the eye with retinal drawing	39	30	$85.48	$27.47
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$427.31	$360.48
76514 Ultrasound scan of cornea to determine thickness	20	19	$14.43	$12.77
92002 New patient problem focused exam of visual system	12	12	$96.12	$97.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	909	876	$144.18	$144.50
92012 Established patient problem focused exam of visual system	283	196	$101.07	$100.66
99213 Established patient office or other outpatient visit, typically 15 minutes	251	190	$83.49	$83.52
92134 Imaging of retina	211	192	$47.24	$46.67
92083 Exam of visual field with extended testing	198	184	$72.96	$71.32
92133 Imaging of optic nerve	183	182	$42.59	$41.95
92004 New patient complete exam of visual system	86	86	$171.53	$172.41
66984 Removal of cataract with insertion of lens	82	56	$758.55	$618.48
76519 Ultrasound of eye for determination of lens power	80	55	$78.01	$62.05
92020 Examination of cornea and iris using lens device and slit lamp	53	52	$32.34	$30.92
92201 Extended exam of the back part of the eye with retinal drawing	22	21	$84.38	$28.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$54.40	$51.40
66821 Removal of recurring cataract in lens capsule using a laser	17	14	$381.28	$360.06
92002 New patient problem focused exam of visual system	15	15	$96.12	$96.54
76514 Ultrasound scan of cornea to determine thickness	13	13	$18.01	$11.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,011	962	$144.05	$142.29
92012 Established patient problem focused exam of visual system	380	257	$101.03	$99.34
99213 Established patient office or other outpatient visit, typically 15 minutes	351	259	$82.60	$81.31
92083 Exam of visual field with extended testing	259	245	$78.25	$73.37
92134 Imaging of retina	248	217	$48.11	$46.21
92133 Imaging of optic nerve	216	211	$44.24	$40.82
92004 New patient complete exam of visual system	124	124	$171.77	$169.54
76519 Ultrasound of eye for determination of lens power	111	74	$164.33	$61.95
66984 Removal of cataract with insertion of lens	108	69	$725.89	$712.90
92020 Examination of cornea and iris using lens device and slit lamp	56	56	$33.67	$30.15
76514 Ultrasound scan of cornea to determine thickness	27	27	$18.79	$13.26
66821 Removal of recurring cataract in lens capsule using a laser	21	16	$582.28	$352.17
92225 Examination of eye by ophthalmoscope with retinal drawing	20	20	$36.74	$30.50
92226 Examination of eye by ophthalmoscope with retinal drawing	18	14	$31.94	$28.18
92060 Exam to measure eye deviation and range of motion	14	12	$77.75	$72.33
92002 New patient problem focused exam of visual system	13	13	$95.75	$94.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,030	973	$142.34	$140.35
99213 Established patient office or other outpatient visit, typically 15 minutes	402	283	$82.17	$80.93
92012 Established patient problem focused exam of visual system	402	260	$99.41	$97.72
92083 Exam of visual field with extended testing	278	261	$76.18	$73.48
92133 Imaging of optic nerve	249	245	$43.59	$41.35
92134 Imaging of retina	224	194	$47.87	$46.57
92004 New patient complete exam of visual system	126	126	$170.62	$168.05
76519 Ultrasound of eye for determination of lens power	126	86	$186.00	$69.63
66984 Removal of cataract with insertion of lens	120	82	$774.38	$710.11
92020 Examination of cornea and iris using lens device and slit lamp	44	44	$31.67	$29.86
76514 Ultrasound scan of cornea to determine thickness	32	32	$18.92	$16.32
92225 Examination of eye by ophthalmoscope with retinal drawing	26	22	$32.80	$30.12
92002 New patient problem focused exam of visual system	25	25	$96.30	$93.28
66821 Removal of recurring cataract in lens capsule using a laser	24	23	$380.02	$351.78
92226 Examination of eye by ophthalmoscope with retinal drawing	22	17	$31.01	$27.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	988	935	$140.46	$138.51
99213 Established patient office or other outpatient visit, typically 15 minutes	400	277	$82.06	$80.82
92012 Established patient problem focused exam of visual system	338	246	$97.57	$95.71
92083 Exam of visual field with extended testing	270	254	$75.19	$73.29
92133 Imaging of optic nerve	238	234	$43.77	$40.87
92134 Imaging of retina	165	148	$47.27	$46.09
92004 New patient complete exam of visual system	127	127	$168.72	$166.10
66984 Removal of cataract with insertion of lens	120	82	$746.38	$708.51
76519 Ultrasound of eye for determination of lens power	114	76	$169.88	$77.72
92020 Examination of cornea and iris using lens device and slit lamp	46	45	$31.57	$29.82
92226 Examination of eye by ophthalmoscope with retinal drawing	28	21	$27.94	$27.57
76514 Ultrasound scan of cornea to determine thickness	24	24	$17.25	$15.78
92225 Examination of eye by ophthalmoscope with retinal drawing	23	21	$30.23	$29.85
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$376.77	$361.51
92002 New patient problem focused exam of visual system	15	15	$92.42	$91.03

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ MA66963

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

7516801 (NJ)

Commercial Insurance / Payer ID Cigna

7129567-014 (NJ)

Commercial Insurance / Payer ID Aetna

5349261 (NJ)

Commercial Insurance / Payer ID Us Healthcare

0973728 (NJ)

Commercial Insurance / Payer ID Individual Ptan

005730ANJ (NJ)

Commercial Insurance / Payer ID Ghi

5715857 (NJ)

Commercial Insurance / Payer ID Oxford

P2174979 (NJ)

Hospital & Practice Group Affiliations

Berkeley Heights Eye Group, Pa

571 Central Ave, New Providence, NJ 079741547

Phone: 9084644600

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Albert Bargoud , MD

Ophthalmology

NPI 1063040178

Doctor of Medicine (M.D.)

Dr. Charissa Wong , MD

Ophthalmology

NPI 1780783498

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 November 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2016

Registered at 571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 079741547 (Tel: 9084644600)

📍

Updated Business Mailing Address November 28, 2016

Registered at 571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 079741547 (Tel: 9084644600)

👤

Provider Name / Credentials Updated November 28, 2016

Recorded as TODD LEVENTHAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Ophthalmology (License #MA66963 in NJ)

🟢

Initial NPI Registration & Enumeration July 16, 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: 1609875251

Entity Type:

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

Enumeration Date: July 16, 2005

Last Update: November 28, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

571 Central Ave Ste 101

New Providence, NJ 079741547

Phone: 9084644600

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.