Active NPI 1063505311 Individual Practitioner Female Practitioner

Dr. Lin Chou , MD

Ophthalmology • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lin Chou, MD is a certified Ophthalmology practicing in Pawtucket, RI. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Chou delivers high-quality medical care to the local community at 465 EAST AVE.

Dr. Chou is affiliated with Alfred A Paul, Md And Lin Chou, Md, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

465 East Ave

Pawtucket, RI 028605217

Telephone 4017289350

Fax 4017281320

Associated Practice Facility / Clinic

🏢 Alfred A Paul, Md And Lin Chou, Md, Inc. Facility NPI 1437354982

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +2.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Pawtucket, RI (92 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chou (38 Years) 38 Yrs

Pawtucket Specialty Average (36.0 Years) 36.0 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
92014 Established patient complete exam of visual system	230	224	$195.00	$131.99
99213 Established patient office or other outpatient visit, typically 15 minutes	147	128	$120.00	$94.89
92133 Imaging of optic nerve	80	79	$160.00	$38.24
92136 Measurement of corneal curvature and depth of eye	78	33	$180.00	$26.42
92134 Imaging of retina	78	73	$160.00	$42.53
92083 Exam of visual field with extended testing	61	60	$135.00	$66.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	33	$165.00	$134.69
66984 Removal of cataract with insertion of lens	42	28	$1500.00	$566.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$90.00	$59.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	204	197	$195.00	$128.30
99213 Established patient office or other outpatient visit, typically 15 minutes	188	139	$120.00	$91.31
92136 Measurement of corneal curvature and depth of eye	88	39	$180.00	$26.71
92134 Imaging of retina	72	69	$160.00	$41.14
92083 Exam of visual field with extended testing	72	68	$135.00	$64.52
92133 Imaging of optic nerve	63	62	$160.00	$37.68
66984 Removal of cataract with insertion of lens	52	37	$1500.00	$550.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$90.00	$57.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$165.00	$130.46
66821 Removal of recurring cataract in lens capsule using a laser	18	15	$700.00	$341.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	235	232	$195.00	$131.44
99213 Established patient office or other outpatient visit, typically 15 minutes	169	135	$120.00	$93.56
92136 Measurement of corneal curvature and depth of eye	75	44	$180.00	$29.45
92133 Imaging of optic nerve	71	71	$160.00	$38.26
92083 Exam of visual field with extended testing	60	55	$135.00	$65.65
92134 Imaging of retina	50	46	$160.00	$42.15
66984 Removal of cataract with insertion of lens	49	38	$1500.00	$557.16
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$700.00	$345.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$165.00	$132.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$90.00	$58.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	262	253	$195.00	$132.19
99213 Established patient office or other outpatient visit, typically 15 minutes	191	124	$120.00	$95.52
92136 Measurement of corneal curvature and depth of eye	150	69	$180.00	$30.23
66984 Removal of cataract with insertion of lens	93	59	$1500.00	$564.73
92133 Imaging of optic nerve	65	64	$160.00	$39.09
92134 Imaging of retina	59	59	$160.00	$42.23
92083 Exam of visual field with extended testing	59	58	$135.00	$66.90
92012 Established patient problem focused exam of visual system	51	46	$150.00	$93.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$165.00	$135.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	201	196	$180.67	$134.22
99213 Established patient office or other outpatient visit, typically 15 minutes	132	86	$120.00	$79.49
92136 Measurement of corneal curvature and depth of eye	126	62	$180.00	$33.77
66984 Removal of cataract with insertion of lens	67	45	$1500.00	$581.29
92012 Established patient problem focused exam of visual system	57	54	$150.00	$93.43
92133 Imaging of optic nerve	39	39	$160.00	$39.67
92134 Imaging of retina	27	27	$160.00	$43.58
92083 Exam of visual field with extended testing	22	22	$135.00	$67.35
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$700.00	$356.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$90.00	$48.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	314	306	$180.00	$132.23
99213 Established patient office or other outpatient visit, typically 15 minutes	203	124	$120.00	$77.88
92136 Measurement of corneal curvature and depth of eye	177	82	$180.00	$37.34
92012 Established patient problem focused exam of visual system	132	125	$150.00	$92.57
92083 Exam of visual field with extended testing	109	107	$135.00	$67.79
66984 Removal of cataract with insertion of lens	102	70	$1500.00	$673.02
92133 Imaging of optic nerve	53	52	$160.00	$39.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$90.00	$46.47
92134 Imaging of retina	23	22	$160.00	$43.17
66982 Complex removal of cataract with insertion of prosthetic lens	20	13	$2000.00	$839.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	314	312	$180.00	$132.77
92012 Established patient problem focused exam of visual system	182	164	$150.00	$92.47
99213 Established patient office or other outpatient visit, typically 15 minutes	153	99	$120.00	$77.08
92136 Measurement of corneal curvature and depth of eye	147	75	$180.00	$39.80
92083 Exam of visual field with extended testing	94	91	$135.00	$68.49
66984 Removal of cataract with insertion of lens	88	67	$1500.00	$683.86
92133 Imaging of optic nerve	57	57	$160.00	$39.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$90.00	$46.42
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$700.00	$353.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	327	320	$180.00	$124.82
92136 Measurement of corneal curvature and depth of eye	157	70	$180.00	$42.72
99213 Established patient office or other outpatient visit, typically 15 minutes	156	118	$120.00	$73.56
92012 Established patient problem focused exam of visual system	152	139	$150.00	$86.38
92083 Exam of visual field with extended testing	101	98	$135.00	$65.78
66984 Removal of cataract with insertion of lens	93	67	$1500.00	$644.19
92133 Imaging of optic nerve	55	54	$194.91	$38.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	28	$90.00	$44.20
66821 Removal of recurring cataract in lens capsule using a laser	23	21	$700.00	$335.07
66982 Complex removal of cataract with insertion of prosthetic lens	16	12	$2000.00	$805.54

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI MD10486

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

LC34245 (RI)

Commercial Insurance / Payer ID Aetna U.s. Healthcare- Master

2450160

Commercial Insurance / Payer ID Tufts Health Plan

352248

Commercial Insurance / Payer ID Blue Shield Of Rhode Island

0000022503

Commercial Insurance / Payer ID State Medical License #

MD10486 (RI)

Commercial Insurance / Payer ID United Healthcare

0800784

Commercial Insurance / Payer ID Blue Chip

407996

Commercial Insurance / Payer ID Railroad Medicare

180043198

Hospital & Practice Group Affiliations

Alfred A Paul, Md And Lin Chou, Md, Inc.

465 E Ave, Pawtucket, RI 028605217

Phone: 4017289350

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Alfred Paul , MD

Ophthalmology

NPI 1235222597

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 June 02, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2008

Registered at 465 EAST AVE, PAWTUCKET, RI 028605217 (Tel: 4017289350)

📍

Updated Business Mailing Address June 02, 2008

Registered at 465 EAST AVE, PAWTUCKET, RI 028605217 (Tel: 4017289350)

👤

Provider Name / Credentials Updated June 02, 2008

Recorded as LIN CHOU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Ophthalmology (License #MD10486 in RI)

🟢

Initial NPI Registration & Enumeration October 01, 2006

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: 1063505311

Entity Type:

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

Enumeration Date: October 01, 2006

Last Update: June 02, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

465 East Ave

Pawtucket, RI 028605217

Phone: 4017289350

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.