Active NPI 1003817420 Individual Practitioner Male Practitioner

Dr. James V Martuccio , MD

Ophthalmology • Warren, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Martuccio, MD is a certified Ophthalmology practicing in Warren, OH. With approximately 39 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1987, Dr. Martuccio delivers high-quality medical care to the local community at 302 NILES CORTLAND RD.

Dr. Martuccio accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

302 Niles Cortland Rd

Warren, OH 44484

Telephone 3303952020

Fax 3303956200

Associated Practice Facility / Clinic

🏢 Warren Eye Clinic Inc Facility NPI 1942499512

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Warren, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +6.2 yrs vs City Avg

City Avg: 32.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Warren, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martuccio (39 Years) 39 Yrs

Warren Specialty Average (32.8 Years) 32.8 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
66984 Removal of cataract with insertion of lens	6,840	53	$6.34	$1.04
92014 Established patient complete exam of visual system	666	655	$129.55	$110.13
99213 Established patient office or other outpatient visit, typically 15 minutes	361	218	$91.19	$80.35
92083 Exam of visual field with extended testing	218	213	$61.18	$54.73
66984 Removal of cataract with insertion of lens	193	13	$41.18	$32.62
92133 Imaging of optic nerve	181	180	$36.23	$29.80
92250 Photography of the retina	173	172	$38.36	$31.78
92004 New patient complete exam of visual system	65	65	$145.29	$131.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	46	$180.00	$161.64
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$322.00	$286.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$215.18	$198.49
92134 Imaging of retina	12	12	$50.00	$34.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$110.00	$102.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	687	680	$129.56	$118.48
99213 Established patient office or other outpatient visit, typically 15 minutes	384	232	$91.06	$86.03
92250 Photography of the retina	254	254	$39.71	$34.62
92083 Exam of visual field with extended testing	213	211	$61.55	$58.23
66984 Removal of cataract with insertion of lens	179	73	$306.42	$253.97
92133 Imaging of optic nerve	169	169	$36.17	$32.77
92136 Measurement of corneal curvature and depth of eye	164	88	$42.77	$23.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	84	$180.43	$169.98
92004 New patient complete exam of visual system	85	85	$145.59	$141.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$220.00	$210.64
66821 Removal of recurring cataract in lens capsule using a laser	26	24	$322.00	$312.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$110.00	$106.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$128.00	$122.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	603	601	$129.56	$120.28
99213 Established patient office or other outpatient visit, typically 15 minutes	460	291	$91.14	$87.70
92136 Measurement of corneal curvature and depth of eye	208	116	$42.90	$24.98
92083 Exam of visual field with extended testing	202	192	$61.75	$58.58
92133 Imaging of optic nerve	188	186	$36.45	$33.72
92250 Photography of the retina	171	170	$40.54	$34.73
92004 New patient complete exam of visual system	112	112	$145.86	$143.18
66984 Removal of cataract with insertion of lens	109	92	$572.38	$517.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	100	$180.26	$174.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$220.35	$215.27
66821 Removal of recurring cataract in lens capsule using a laser	30	30	$322.00	$316.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$128.76	$124.17
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	14	13	$7250.00	$651.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$110.82	$104.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	666	659	$129.56	$121.75
99213 Established patient office or other outpatient visit, typically 15 minutes	381	252	$90.21	$88.22
92250 Photography of the retina	229	229	$40.81	$37.17
92083 Exam of visual field with extended testing	206	200	$63.13	$60.26
92136 Measurement of corneal curvature and depth of eye	182	106	$41.41	$27.07
92133 Imaging of optic nerve	178	176	$37.34	$33.86
66984 Removal of cataract with insertion of lens	140	117	$610.34	$522.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	118	109	$178.94	$176.39
92004 New patient complete exam of visual system	78	78	$146.39	$145.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$220.28	$213.51
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$324.94	$321.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$127.65	$126.50
0191T Internal insertion of eye fluid drainage device	19	17	$3500.00	$1134.13
0376T Insertion of eye drainage device	16	15	$750.00	$34.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	725	722	$129.56	$122.37
99213 Established patient office or other outpatient visit, typically 15 minutes	374	237	$75.72	$73.34
92250 Photography of the retina	268	267	$80.38	$42.90
92083 Exam of visual field with extended testing	257	246	$84.89	$60.64
92136 Measurement of corneal curvature and depth of eye	208	108	$42.78	$30.21
92133 Imaging of optic nerve	200	199	$50.00	$34.10
66984 Removal of cataract with insertion of lens	124	99	$767.07	$538.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	96	$149.86	$143.97
92004 New patient complete exam of visual system	74	74	$155.58	$146.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$216.27	$197.70
66821 Removal of recurring cataract in lens capsule using a laser	29	28	$385.01	$324.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$111.87	$106.81
0191T Internal insertion of eye fluid drainage device	19	15	$3500.00	$1144.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	824	816	$129.56	$120.62
99213 Established patient office or other outpatient visit, typically 15 minutes	550	332	$75.68	$71.12
92250 Photography of the retina	338	337	$80.12	$46.85
92136 Measurement of corneal curvature and depth of eye	287	156	$42.75	$32.38
92083 Exam of visual field with extended testing	281	263	$84.98	$60.36
66984 Removal of cataract with insertion of lens	183	151	$822.73	$606.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	167	151	$149.86	$139.90
92133 Imaging of optic nerve	160	159	$50.00	$33.28
92004 New patient complete exam of visual system	81	81	$155.69	$144.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$216.04	$197.68
66821 Removal of recurring cataract in lens capsule using a laser	61	59	$352.33	$317.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$111.73	$104.41
0191T Internal insertion of eye fluid drainage device	12	12	$3500.00	$1116.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	846	830	$129.56	$120.53
99213 Established patient office or other outpatient visit, typically 15 minutes	588	359	$75.66	$70.05
92250 Photography of the retina	422	415	$80.42	$52.10
92083 Exam of visual field with extended testing	294	270	$85.02	$60.51
92136 Measurement of corneal curvature and depth of eye	259	145	$42.05	$34.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	168	155	$149.86	$139.54
66984 Removal of cataract with insertion of lens	167	138	$789.36	$612.92
92133 Imaging of optic nerve	152	152	$49.93	$34.24
92004 New patient complete exam of visual system	123	123	$155.83	$144.60
92025 Ct scan of cornea	80	80	$39.47	$35.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$216.05	$197.18
66821 Removal of recurring cataract in lens capsule using a laser	38	38	$377.27	$316.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$111.82	$103.57
92225 Examination of eye by ophthalmoscope with retinal drawing	14	13	$32.26	$26.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$112.68	$103.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	895	885	$129.56	$117.67
99213 Established patient office or other outpatient visit, typically 15 minutes	679	415	$75.67	$69.85
92250 Photography of the retina	494	490	$80.03	$61.51
92083 Exam of visual field with extended testing	320	295	$85.03	$57.46
92136 Measurement of corneal curvature and depth of eye	283	153	$42.44	$38.96
66984 Removal of cataract with insertion of lens	190	161	$784.46	$614.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	172	154	$149.86	$139.14
92004 New patient complete exam of visual system	149	149	$155.64	$142.14
92133 Imaging of optic nerve	108	106	$50.00	$34.21
92025 Ct scan of cornea	91	91	$39.07	$34.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$215.91	$199.63
66821 Removal of recurring cataract in lens capsule using a laser	48	45	$352.33	$313.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$111.84	$103.06
76519 Ultrasound of eye for determination of lens power	21	11	$43.14	$34.50
66982 Complex removal of cataract with insertion of prosthetic lens	12	12	$1039.65	$765.06
92225 Examination of eye by ophthalmoscope with retinal drawing	12	11	$28.97	$25.77

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35-05-7140-M

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

0822024 (OH)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2007

Registered at 302 NILES CORTLAND RD, WARREN, OH 44484 (Tel: 3303952020)

📍

Updated Business Mailing Address November 01, 2007

Registered at 302 NILES CORTLAND RD, WARREN, OH 44484 (Tel: 3303952020)

👤

Provider Name / Credentials Updated November 01, 2007

Recorded as JAMES MARTUCCIO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Ophthalmology (License #35-05-7140-M in OH)

🟢

Initial NPI Registration & Enumeration August 09, 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: 1003817420

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: November 01, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

302 Niles Cortland Rd

Warren, OH 44484

Phone: 3303952020

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.