Dr. Lauren Rispoli, MD - Ophthalmology in Verona, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Lauren Rispoli, MD is a certified Ophthalmology practicing in Verona, NJ. With approximately 37 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1989, Dr. Rispoli delivers high-quality medical care to the local community at VERONA OPTICIANS.

Dr. Rispoli is affiliated with Ophthalmology Nj Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, 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

Verona Opticians
573 Bloomfield Ave

Verona, NJ 070441818

Telephone 9732394518

Fax 9732396210

Associated Practice Facility / Clinic

🏢 Lauren C. Rispoli,md Pa Facility NPI 1154794469

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Verona, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Verona, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rispoli (37 Years) 37 Yrs

Verona Specialty Average (37.0 Years) 37.0 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
92012 Established patient problem focused exam of visual system	108	57	$286.81	$104.30
92014 Established patient complete exam of visual system	61	48	$392.01	$146.42
92133 Imaging of optic nerve	46	43	$124.75	$42.16
92134 Imaging of retina	42	30	$135.38	$47.09
92083 Exam of visual field with extended testing	35	32	$218.11	$74.58
92060 Exam to measure eye deviation and range of motion	13	11	$207.52	$73.22
92004 New patient complete exam of visual system	11	11	$464.97	$173.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	78	56	$149.87	$142.19
92012 Established patient problem focused exam of visual system	69	44	$110.00	$101.61
92133 Imaging of optic nerve	52	43	$150.00	$41.06
92134 Imaging of retina	45	32	$150.00	$45.28
92083 Exam of visual field with extended testing	37	33	$300.00	$71.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$65.03	$63.17
92060 Exam to measure eye deviation and range of motion	23	15	$150.00	$70.73
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$110.00	$99.72
92004 New patient complete exam of visual system	15	15	$180.00	$167.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	84	62	$150.00	$145.59
92012 Established patient problem focused exam of visual system	75	46	$110.00	$103.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	29	$65.03	$64.47
92134 Imaging of retina	40	27	$150.00	$46.59
92133 Imaging of optic nerve	30	29	$150.00	$42.11
92083 Exam of visual field with extended testing	30	27	$300.00	$73.44
92060 Exam to measure eye deviation and range of motion	23	15	$150.00	$71.85
92004 New patient complete exam of visual system	12	12	$180.00	$172.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	123	63	$109.07	$105.41
92014 Established patient complete exam of visual system	78	54	$149.54	$147.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	34	$62.72	$63.20
92133 Imaging of optic nerve	52	45	$150.00	$43.33
92134 Imaging of retina	51	35	$150.00	$47.68
92083 Exam of visual field with extended testing	46	37	$300.00	$75.18
92060 Exam to measure eye deviation and range of motion	43	19	$98.72	$74.00
92004 New patient complete exam of visual system	31	31	$179.03	$174.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	68	54	$146.41	$144.21
92012 Established patient problem focused exam of visual system	44	33	$101.70	$100.21
92133 Imaging of optic nerve	35	32	$150.00	$42.49
92134 Imaging of retina	33	27	$150.00	$46.54
92083 Exam of visual field with extended testing	21	19	$300.00	$73.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$60.00	$51.84
92004 New patient complete exam of visual system	17	17	$175.00	$171.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	77	62	$144.69	$140.47
92012 Established patient problem focused exam of visual system	65	43	$101.41	$99.25
92133 Imaging of optic nerve	43	42	$54.97	$41.83
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$87.24	$82.44
92134 Imaging of retina	35	23	$55.74	$46.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$130.69	$116.52
92083 Exam of visual field with extended testing	30	27	$113.80	$73.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	17	$52.76	$50.46
92225 Examination of eye by ophthalmoscope with retinal drawing	27	12	$30.13	$29.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	272	66	$30.00	$29.31
99213 Established patient office or other outpatient visit, typically 15 minutes	112	51	$88.83	$78.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	72	$130.69	$115.13
92083 Exam of visual field with extended testing	28	24	$81.37	$71.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.50	$176.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	51	$88.83	$80.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$130.69	$118.77

Medical Specialties & State Licenses

CMS Verified: 2024-11-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA5622000

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License NJ MA056220

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

5570301 (NJ)

Hospital & Practice Group Affiliations

Ophthalmology Nj Llc

799 Bloomfield Ave, Verona, NJ 070441367

Phone: 9735711500

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 12, 2018

Registered at VERONA OPTICIANS, 573 BLOOMFIELD AVE, VERONA, NJ 070441818 (Tel: 9732394518)

✅

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 25, 2010

Registered at 46 EAGLE ROCK AVE, EAST HANOVER, NJ 079363104 (Tel: 9735601500)

📍

Updated Practice Location June 25, 2010

Registered at 46 EAGLE ROCK AVE, EAST HANOVER, NJ 079363104 (Tel: 9735601500)

👤

Provider Name / Credentials Updated June 25, 2010

Recorded as LAUREN RISPOLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Ophthalmology (License #MA056220 in NJ)

🟢

Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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Dr. Lauren G Rispoli , MD