Active NPI 1306826581 Individual Practitioner Male Practitioner

Dr. Philip Mark Fiore , MD

Ophthalmology • Nutley, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Fiore, MD is a certified Ophthalmology practicing in Nutley, NJ. With approximately 42 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1984, Dr. Fiore delivers high-quality medical care to the local community at 213 CHESTNUT ST.

Dr. Fiore is affiliated with Eye Centers Of America Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, 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

213 Chestnut St

Nutley, NJ 071102328

Telephone 9736672020

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Nutley, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +3.7 yrs vs City Avg

City Avg: 38.3 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Nutley, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fiore (42 Years) 42 Yrs

Nutley Specialty Average (38.3 Years) 38.3 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	1,210	887	$340.83	$138.97
92250 Photography of the retina	679	615	$162.83	$40.48
92012 Established patient problem focused exam of visual system	462	308	$178.64	$99.32
92020 Examination of cornea and iris using lens device and slit lamp	333	247	$57.95	$29.87
92133 Imaging of optic nerve	158	156	$82.97	$37.30
92083 Exam of visual field with extended testing	142	141	$129.30	$71.35
92004 New patient complete exam of visual system	111	111	$312.00	$162.28
76511 1d ultrasound scan of eye tissue and structures	55	42	$101.45	$57.46
66984 Removal of cataract with insertion of lens	49	37	$1463.27	$592.65
92136 Measurement of corneal curvature and depth of eye	37	35	$155.68	$51.20
68841 Insertion of drug delivery implant into tear duct of eye	37	29	$100.00	$17.48
76514 Ultrasound scan of cornea to determine thickness	34	34	$19.85	$11.99
66821 Removal of recurring cataract in lens capsule using a laser	18	16	$613.89	$351.97
92002 New patient problem focused exam of visual system	17	17	$172.94	$94.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$197.43	$141.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,160	863	$356.00	$143.20
92250 Photography of the retina	682	612	$208.00	$42.26
92012 Established patient problem focused exam of visual system	557	358	$248.00	$101.53
92020 Examination of cornea and iris using lens device and slit lamp	362	261	$77.00	$31.20
92133 Imaging of optic nerve	172	172	$90.00	$38.83
92083 Exam of visual field with extended testing	148	148	$150.00	$71.79
76514 Ultrasound scan of cornea to determine thickness	145	145	$30.00	$12.40
92004 New patient complete exam of visual system	123	123	$426.00	$168.69
76511 1d ultrasound scan of eye tissue and structures	76	55	$141.05	$59.17
66984 Removal of cataract with insertion of lens	54	42	$1300.00	$585.81
92136 Measurement of corneal curvature and depth of eye	44	44	$160.00	$52.53
68841 Insertion of drug delivery implant into tear duct of eye	32	24	$100.00	$18.05
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$780.00	$379.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,127	861	$291.82	$144.79
92250 Photography of the retina	681	595	$172.05	$42.39
92012 Established patient problem focused exam of visual system	528	289	$198.96	$102.21
92020 Examination of cornea and iris using lens device and slit lamp	196	146	$112.01	$31.68
92083 Exam of visual field with extended testing	170	169	$190.59	$73.04
92133 Imaging of optic nerve	155	154	$97.55	$39.08
92004 New patient complete exam of visual system	135	135	$341.99	$169.93
76511 1d ultrasound scan of eye tissue and structures	73	50	$201.48	$64.97
92136 Measurement of corneal curvature and depth of eye	63	48	$210.87	$55.00
66984 Removal of cataract with insertion of lens	61	44	$2455.57	$576.43
66821 Removal of recurring cataract in lens capsule using a laser	50	46	$711.20	$383.28
76514 Ultrasound scan of cornea to determine thickness	46	44	$31.96	$12.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$298.00	$142.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,136	861	$270.00	$147.03
92250 Photography of the retina	672	586	$160.00	$45.49
92012 Established patient problem focused exam of visual system	619	289	$184.62	$104.74
92004 New patient complete exam of visual system	194	194	$320.00	$173.93
92083 Exam of visual field with extended testing	164	163	$200.00	$74.72
92133 Imaging of optic nerve	130	130	$100.00	$39.70
76511 1d ultrasound scan of eye tissue and structures	99	67	$210.00	$67.24
66984 Removal of cataract with insertion of lens	92	63	$2630.00	$612.23
92136 Measurement of corneal curvature and depth of eye	87	62	$225.00	$59.21
92020 Examination of cornea and iris using lens device and slit lamp	73	65	$150.00	$32.08
66821 Removal of recurring cataract in lens capsule using a laser	36	32	$700.00	$389.93
76514 Ultrasound scan of cornea to determine thickness	33	33	$35.00	$12.65
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	26	26	$15.00	$13.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,047	790	$270.00	$145.00
92250 Photography of the retina	555	500	$160.00	$52.00
92012 Established patient problem focused exam of visual system	460	240	$179.66	$101.95
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	178	161	$15.00	$13.63
92083 Exam of visual field with extended testing	157	155	$200.00	$73.92
92004 New patient complete exam of visual system	127	127	$320.00	$172.23
92133 Imaging of optic nerve	110	108	$100.00	$39.42
76511 1d ultrasound scan of eye tissue and structures	74	50	$210.00	$71.97
66984 Removal of cataract with insertion of lens	69	48	$2630.00	$618.45
92136 Measurement of corneal curvature and depth of eye	57	43	$225.00	$35.01
92020 Examination of cornea and iris using lens device and slit lamp	55	51	$150.00	$31.52
66821 Removal of recurring cataract in lens capsule using a laser	39	36	$700.00	$385.41
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$160.00	$85.39
92136 Measurement of corneal curvature and depth of eye	13	12	$225.00	$35.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,186	875	$270.00	$142.24
92012 Established patient problem focused exam of visual system	634	297	$180.00	$99.52
92250 Photography of the retina	595	546	$160.00	$57.28
92004 New patient complete exam of visual system	173	173	$320.00	$169.14
92083 Exam of visual field with extended testing	171	168	$200.00	$73.17
92133 Imaging of optic nerve	121	119	$100.00	$38.43
76511 1d ultrasound scan of eye tissue and structures	85	65	$210.00	$77.51
66984 Removal of cataract with insertion of lens	83	64	$2630.00	$700.04
92020 Examination of cornea and iris using lens device and slit lamp	70	64	$150.00	$30.81
92136 Measurement of corneal curvature and depth of eye	60	50	$225.00	$34.51
92136 Measurement of corneal curvature and depth of eye	18	18	$225.00	$34.51
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$700.00	$375.28
0376T Insertion of eye drainage device	12	11	$1200.00	$206.49
0191T Internal insertion of eye fluid drainage device	12	11	$2780.00	$412.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,228	942	$270.00	$142.02
92012 Established patient problem focused exam of visual system	788	361	$180.00	$99.04
92250 Photography of the retina	639	587	$160.00	$65.28
92083 Exam of visual field with extended testing	190	190	$200.00	$73.52
92004 New patient complete exam of visual system	158	158	$320.00	$169.62
92133 Imaging of optic nerve	139	139	$100.00	$39.11
76511 1d ultrasound scan of eye tissue and structures	93	70	$210.00	$94.17
66984 Removal of cataract with insertion of lens	90	69	$2630.00	$703.02
92020 Examination of cornea and iris using lens device and slit lamp	38	35	$150.00	$29.88
66821 Removal of recurring cataract in lens capsule using a laser	34	33	$700.00	$373.96
0191T Internal insertion of eye fluid drainage device	20	14	$2429.00	$726.72
67840 Removal of eyelid growth	15	15	$661.33	$328.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$230.00	$119.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,232	940	$270.00	$138.53
92012 Established patient problem focused exam of visual system	873	365	$180.00	$95.92
92250 Photography of the retina	660	617	$160.00	$75.55
92083 Exam of visual field with extended testing	210	210	$200.00	$72.92
92133 Imaging of optic nerve	195	195	$100.00	$38.78
92004 New patient complete exam of visual system	189	189	$320.00	$166.33
76511 1d ultrasound scan of eye tissue and structures	98	66	$210.00	$115.37
66984 Removal of cataract with insertion of lens	91	61	$2630.00	$706.94
92020 Examination of cornea and iris using lens device and slit lamp	42	38	$150.00	$29.84
66821 Removal of recurring cataract in lens capsule using a laser	32	31	$700.00	$370.78

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ MA046962

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.

Hospital & Practice Group Affiliations

Eye Centers Of America Llc

1255 Broad St, Bloomfield, NJ 070033061

Phone: 9737075632

Eye Centers Of America Llc

89 N Maple Ave, Ridgewood, NJ 074503235

Phone: 2014451991

Eye Centers Of America Llc

213 Chestnut St, Nutley, NJ 071102328

Phone: 9736672020

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2010

Registered at 213 CHESTNUT ST, NUTLEY, NJ 071102328 (Tel: 9736672020)

📍

Updated Business Mailing Address June 28, 2010

Registered at 213 CHESTNUT ST, NUTLEY, NJ 071102328 (Tel: 9736672020)

👤

Provider Name / Credentials Updated June 28, 2010

Recorded as PHILIP FIORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2010

Ophthalmology (License #MA046962 in NJ)

🟢

Initial NPI Registration & Enumeration January 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Philip Fiore. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306826581

Entity Type:

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

Enumeration Date: January 22, 2006

Last Update: June 28, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

213 Chestnut St

Nutley, NJ 071102328

Phone: 9736672020

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.