DR. STEPHEN D ANESI M.D.
NPI 1003052788
Ophthalmology in Waltham, MA

Active since December 30, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1440 MAIN STREET, SUITE 201, WALTHAM, MA 02451(781) 891-6377(781) 647-1430 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephen D Anesi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN D ANESI M.D. (NPI 1003052788) is an individual ophthalmology provider in Waltham, Massachusetts, licensed in Massachusetts (243244) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003052788
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. STEPHEN D ANESICredential: M.D.
Location Address1440 MAIN STREET, SUITE 201Waltham, MA 02451
Mailing Address1440 Main Street, Suite 201Waltham, MA 02451 · (781) 891-6377 · Fax (617) 494-1430
Fax(781) 647-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 30, 2008
Last NPPES UpdateOctober 18, 2019
✔ NPI 1003052788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 243244
Definition
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.
1440 MAIN STREET, Waltham, MA 02451

Other Identifiers 1

Medicaid110090936AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen D Anesi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173715141
PECOS Enrollment IDI20101008000417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Anesi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
1440 MAIN STREET, SUITE 201
Waltham, MA 02451
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
Ophthalmology
63 LINCOLN ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 52

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
853 services273 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
786 services470 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
638 services166 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
631 services165 patients
Liver enzyme (sgot), level 84450
A Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
631 services166 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
631 services166 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1440 MAIN STREET, SUITE 201
WALTHAM, MA 02451
Anesthesiology
1440 MAIN STREET
WALTHAM, MA 02451
Ophthalmology
1440 MAIN STREET, SUITE 201
WALTHAM, MA 02451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Anesi's NPI number?

The NPI number for Stephen Anesi is 1003052788. It was assigned to this individual provider in the NPPES registry on December 30, 2008.

Where is Stephen Anesi located?

Stephen Anesi practices at 1440 Main Street Suite 201, Waltham, MA 02451. The listed phone number is (781) 891-6377.

What is Stephen Anesi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stephen Anesi enrolled in Medicare?

Yes. Stephen Anesi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephen Anesi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Anesi reassigns Medicare benefits to 2 organizations: Massachusetts Eye Research And Surgery Institution, PC (Waltham, MA) and Retina Consultants Of Worcester PC (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Anesi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Anesi accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Stephen Anesi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephen Anesi affiliated with any hospitals?

According to CMS data, Stephen Anesi is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Winchester Hospital and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Anesi was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.