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Active NPI 1174670806 Individual Practitioner Male Practitioner

Dr. King Wai To , MD

Ophthalmology • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. King To, MD is a certified Ophthalmology practicing in Providence, RI. With approximately 40 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1986, Dr. To delivers high-quality medical care to the local community at ONE HOPPIN STREET.

Dr. To is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

One Hoppin Street
Suite 202

Providence, RI 029034141

Telephone 4018314592
Fax 4018314643

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Providence, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +10.1 yrs vs City Avg
City Avg: 29.9 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Providence, RI (92 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. To (40 Years) 40 Yrs
Providence Specialty Average (29.9 Years) 29.9 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
435 424 $276.65 $127.18
92012 Established patient problem focused exam of visual system
323 260 $195.00 $90.02
92134 Imaging of retina
195 153 $80.00 $40.79
92250 Photography of the retina
53 51 $155.00 $37.02
92133 Imaging of optic nerve
50 47 $120.00 $35.07
92083 Exam of visual field with extended testing
46 46 $202.00 $64.27
92020 Examination of cornea and iris using lens device and slit lamp
29 29 $80.00 $27.57
92004 New patient complete exam of visual system
25 25 $375.00 $150.64

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI 7985

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
9020082 (RI)
Commercial Insurance / Payer ID Harvard Pilgrim Healthcare
15679RIH (RI)
Commercial Insurance / Payer ID Neighborhood Health Plan Of Ri
2503 (RI)
Commercial Insurance / Payer ID Bcbs Of Ri
20082 (RI)
Commercial Insurance / Payer ID Bcbs - Blue Chip
203904 (RI)
Commercial Insurance / Payer ID Railroad Medicare
180022235 (RI)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

1 Hoppin St, Providence, RI 029034141

Phone: 4014446551

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1053468454

Doctor of Medicine (M.D.)

NPI 1154487684

Doctor of Medicine (M.D.)

NPI 1376609180

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 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2008

Registered at ONE HOPPIN STREET, SUITE 202, PROVIDENCE, RI 029034141 (Tel: 4018314592)

📍
Updated Business Mailing Address June 12, 2008

Registered at ONE HOPPIN STREET, SUITE 202, PROVIDENCE, PR 029034141 (Tel: 4018314592)

👤
Provider Name / Credentials Updated June 12, 2008

Recorded as KING TO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Ophthalmology (License #7985 in RI)

🟢
Initial NPI Registration & Enumeration January 04, 2007

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: 1174670806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: June 12, 2008
Sole Proprietor: Yes

Mailing Address

One Hoppin Street, Suite 202

Providence, PR 029034141

Phone: 4018314592

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.