Active NPI 1144278821 Individual Practitioner Female Practitioner

Dr. Holly M Misto , OD

Optometrist • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Holly Misto, OD is a certified Optometrist practicing in Westerly, RI. With approximately 33 years of clinical experience since graduating from New England College Of Optometry in 1993, Dr. Misto delivers high-quality medical care to the local community at 17 WELLS ST.

Dr. Misto is affiliated with Coastal Eye Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, 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

17 Wells St
Ste 101

Westerly, RI 028912923

Telephone 4013482020

Fax 4015969348

Associated Practice Facility / Clinic

🏢 Ent Associates Of Westerly, Ltd. Facility NPI 1093806705

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +17.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Westerly, RI (280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Misto (33 Years) 33 Yrs

Westerly Specialty Average (15.3 Years) 15.3 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	187	187	$125.00	$123.43
92250 Photography of the retina	110	110	$100.00	$37.43
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$90.00	$88.92
92134 Imaging of retina	42	39	$95.00	$40.37
92004 New patient complete exam of visual system	36	36	$145.00	$143.09
92083 Exam of visual field with extended testing	11	11	$80.00	$64.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	155	155	$125.00	$123.36
92250 Photography of the retina	83	82	$100.00	$38.39
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$90.00	$88.93
92134 Imaging of retina	25	25	$95.00	$41.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$60.00	$57.98
92004 New patient complete exam of visual system	13	13	$145.00	$143.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	156	155	$125.00	$123.75
92250 Photography of the retina	87	84	$100.00	$38.72
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$90.00	$89.49
92134 Imaging of retina	34	31	$95.00	$41.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$60.00	$58.75
92083 Exam of visual field with extended testing	12	11	$80.00	$65.56
92133 Imaging of optic nerve	11	11	$95.00	$36.97
92004 New patient complete exam of visual system	11	11	$145.00	$143.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	161	161	$125.00	$125.00
92250 Photography of the retina	70	70	$100.36	$40.93
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$90.00	$90.00
92134 Imaging of retina	38	33	$95.00	$42.96
92004 New patient complete exam of visual system	33	33	$145.00	$145.00
92083 Exam of visual field with extended testing	14	14	$80.00	$66.77
92133 Imaging of optic nerve	14	14	$95.00	$38.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$60.00	$58.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	58	58	$125.00	$124.82
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$90.00	$78.48
92134 Imaging of retina	15	15	$95.00	$43.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	198	196	$124.92	$123.22
99213 Established patient office or other outpatient visit, typically 15 minutes	78	73	$90.00	$77.11
92134 Imaging of retina	56	50	$95.00	$42.71
92004 New patient complete exam of visual system	47	47	$145.00	$143.20
92133 Imaging of optic nerve	25	24	$95.00	$38.13
92250 Photography of the retina	21	20	$100.00	$51.28
92083 Exam of visual field with extended testing	20	19	$80.00	$67.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$60.00	$46.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	199	199	$125.00	$122.46
99213 Established patient office or other outpatient visit, typically 15 minutes	87	77	$82.87	$71.56
92134 Imaging of retina	59	51	$95.00	$40.98
92004 New patient complete exam of visual system	42	42	$145.00	$142.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$60.00	$43.50
92250 Photography of the retina	17	16	$100.00	$56.61
92133 Imaging of optic nerve	12	12	$95.00	$36.59
92012 Established patient problem focused exam of visual system	11	11	$100.00	$86.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	189	186	$125.00	$120.37
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$80.00	$70.51
92004 New patient complete exam of visual system	45	45	$144.56	$140.57
92012 Established patient problem focused exam of visual system	22	22	$100.00	$83.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$60.00	$42.23
92250 Photography of the retina	19	19	$100.00	$64.28
92134 Imaging of retina	18	18	$95.00	$39.47

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTA00534

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

9021231 (RI)

Hospital & Practice Group Affiliations

Coastal Eye Associates Inc

17 Wells St, Westerly, RI 028912923

Phone: 4013482020

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Nora Ann Grills , OD

Optometrist

NPI 1093966954

Doctor of Optometry

Dr. Ronald Serra , OD

Optometrist

NPI 1124060397

Doctor of Optometry

Dr. Salvatore Magliari , OD

Optometrist

NPI 1215985999

Doctor of Optometry

Dr. Kathleen Abarr , OD

Optometrist

NPI 1285017988

Doctor of Optometry

Dr. Jessica Cherenza , OD

Optometrist

NPI 1407425804

Doctor of Optometry

Dr. Sara Crussana , OD

Optometrist

NPI 1568659845

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2012

Registered at 17 WELLS ST, STE 101, WESTERLY, RI 028912923 (Tel: 4013482020)

📍

Updated Business Mailing Address April 24, 2012

Registered at 17 WELLS ST, STE 101, WESTERLY, RI 028912923 (Tel: 4013482020)

👤

Provider Name / Credentials Updated April 24, 2012

Recorded as HOLLY MISTO, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2012

Optometrist (License #ODTA00534 in RI)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1144278821

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: April 24, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 Wells St, Ste 101

Westerly, RI 028912923

Phone: 4013482020

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.