Active NPI 1275910259 Individual Practitioner Female Practitioner

Dr. Marcella Pipitone , OD

Optometrist • Kent, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marcella Pipitone, OD is a certified Optometrist practicing in Kent, OH. With approximately 11 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2015, Dr. Pipitone delivers high-quality medical care to the local community at 2013 STATE ROUTE 59.

Dr. Pipitone is affiliated with Northeast Ohio Eye Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, 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

2013 State Route 59

Kent, OH 442404113

Telephone 3306780201

Fax 3306784272

Associated Practice Facility / Clinic

🏢 Northeast Ohio Eye Surgeons, Inc. Facility NPI 1932208733

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kent, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -2.6 yrs vs City Avg

City Avg: 13.6 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Kent, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pipitone (11 Years) 11 Yrs

Kent Specialty Average (13.6 Years) 13.6 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	468	254	$190.00	$126.39
92083 Exam of visual field with extended testing	225	201	$120.00	$60.98
92133 Imaging of optic nerve	218	209	$65.00	$34.81
92014 Established patient complete exam of visual system	212	211	$185.00	$121.59
99213 Established patient office or other outpatient visit, typically 15 minutes	187	169	$135.00	$89.73
92134 Imaging of retina	67	62	$65.00	$38.95
92020 Examination of cornea and iris using lens device and slit lamp	21	20	$45.00	$25.57

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	414	226	$190.00	$121.47
99213 Established patient office or other outpatient visit, typically 15 minutes	261	214	$135.00	$86.63
92133 Imaging of optic nerve	194	191	$65.00	$34.31
92083 Exam of visual field with extended testing	180	169	$120.00	$58.21
92014 Established patient complete exam of visual system	148	148	$185.00	$119.02
92134 Imaging of retina	55	50	$65.00	$37.98
92020 Examination of cornea and iris using lens device and slit lamp	20	17	$45.00	$26.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$165.00	$108.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	634	20	$6.29	$1.16
99213 Established patient office or other outpatient visit, typically 15 minutes	393	321	$135.00	$88.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	257	$190.00	$124.06
92133 Imaging of optic nerve	201	199	$65.00	$35.16
92083 Exam of visual field with extended testing	191	180	$120.00	$59.08
92014 Established patient complete exam of visual system	84	84	$185.00	$120.84
92134 Imaging of retina	51	48	$65.00	$38.60
92020 Examination of cornea and iris using lens device and slit lamp	39	37	$45.00	$27.08
76514 Ultrasound scan of cornea to determine thickness	26	26	$20.00	$10.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$165.00	$109.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$164.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	586	18	$5.84	$1.18
99213 Established patient office or other outpatient visit, typically 15 minutes	446	317	$130.94	$89.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	350	$189.25	$127.84
92133 Imaging of optic nerve	208	204	$64.95	$36.10
92083 Exam of visual field with extended testing	177	167	$120.00	$60.54
92134 Imaging of retina	51	46	$65.00	$39.46
92020 Examination of cornea and iris using lens device and slit lamp	31	29	$44.68	$27.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$247.83	$166.22
76514 Ultrasound scan of cornea to determine thickness	16	16	$20.00	$10.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,932	56	$7.67	$1.20
99213 Established patient office or other outpatient visit, typically 15 minutes	612	410	$100.18	$73.41
92133 Imaging of optic nerve	174	168	$65.00	$36.10
92083 Exam of visual field with extended testing	168	158	$120.00	$59.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	77	$145.00	$106.39
92014 Established patient complete exam of visual system	57	57	$165.00	$122.91
92012 Established patient problem focused exam of visual system	36	35	$115.00	$85.77
92134 Imaging of retina	27	26	$65.00	$39.22
76514 Ultrasound scan of cornea to determine thickness	15	15	$20.00	$11.13
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$40.00	$27.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$145.00	$105.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$60.00	$44.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,043	52	$6.14	$1.39
66821 Removal of recurring cataract in lens capsule using a laser	675	13	$1.73	$0.71
99213 Established patient office or other outpatient visit, typically 15 minutes	650	419	$100.00	$71.40
92133 Imaging of optic nerve	150	147	$65.00	$35.41
92083 Exam of visual field with extended testing	135	128	$120.00	$60.51
92012 Established patient problem focused exam of visual system	63	54	$115.00	$84.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	61	$145.00	$105.72
92014 Established patient complete exam of visual system	50	49	$165.00	$122.17
92134 Imaging of retina	30	29	$65.00	$38.91
76514 Ultrasound scan of cornea to determine thickness	28	28	$20.00	$11.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$145.00	$105.28
92004 New patient complete exam of visual system	24	24	$200.00	$146.16
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$40.00	$26.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$60.00	$43.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,159	60	$6.86	$1.42
99213 Established patient office or other outpatient visit, typically 15 minutes	412	299	$100.00	$68.81
92133 Imaging of optic nerve	96	94	$65.00	$35.28
92012 Established patient problem focused exam of visual system	94	84	$115.00	$83.53
92083 Exam of visual field with extended testing	92	89	$120.00	$58.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	75	$145.00	$103.76
92014 Established patient complete exam of visual system	46	46	$165.00	$118.34
92134 Imaging of retina	34	32	$65.00	$39.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$145.00	$104.18
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$40.00	$25.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$159.47
76514 Ultrasound scan of cornea to determine thickness	16	16	$20.00	$14.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$60.00	$41.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,466	48	$4.24	$1.40
66821 Removal of recurring cataract in lens capsule using a laser	869	11	$1.66	$0.83
99213 Established patient office or other outpatient visit, typically 15 minutes	266	196	$100.00	$69.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	71	$145.00	$103.11
92012 Established patient problem focused exam of visual system	48	42	$115.00	$81.04
92133 Imaging of optic nerve	30	30	$65.00	$35.60
92083 Exam of visual field with extended testing	29	27	$120.00	$60.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$145.00	$103.68
92134 Imaging of retina	24	24	$65.00	$38.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$158.22
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$100.00	$71.62
76514 Ultrasound scan of cornea to determine thickness	11	11	$20.00	$13.70

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 6401 T3318

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

0177764 (OH)

Hospital & Practice Group Affiliations

Northeast Ohio Eye Surgeons Inc

2013 State Route 59, Kent, OH 442404113

Phone: 3306780201

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Elizabeth Esparaz , MD

Ophthalmology

NPI 1053654004

Doctor of Medicine (M.D.)

Dr. Lawrence Lohman , MD

Ophthalmology

NPI 1154321859

Doctor of Medicine (M.D.)

Dr. Katherine Zajac , OD

Optometrist

NPI 1215370143

Doctor of Optometry

Dr. Kimberly Cingle , MD

Ophthalmology

NPI 1275567885

Doctor of Medicine (M.D.)

Dr. Jennifer Vincent , OD

Optometrist

NPI 1326483546

Doctor of Optometry

Dr. Matthew Willett , MD

Ophthalmology

NPI 1457541104

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 December 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2016

Registered at 2013 STATE ROUTE 59, KENT, OH 442404113 (Tel: 3306780201)

📍

Updated Business Mailing Address December 05, 2016

Registered at 2013 STATE ROUTE 59, KENT, OH 442404113 (Tel: 3306780201)

👤

Provider Name / Credentials Updated December 05, 2016

Recorded as MARCELLA PIPITONE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Optometrist (License #6401 T3318 in OH)

🟢

Initial NPI Registration & Enumeration April 29, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275910259

Entity Type:

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

Enumeration Date: April 29, 2015

Last Update: December 05, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2013 State Route 59

Kent, OH 442404113

Phone: 3306780201

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.