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JUSTINE PIDGEON OD
NPI 1003582420
Optometrist in Boston, MA

Active since August 17, 2021PECOS Enrolled
400 COMMONWEALTH AVE STE 2, BOSTON, MA 02215(617) 426-0370 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justine Pidgeon Od NPPES

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

JUSTINE PIDGEON OD (NPI 1003582420) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (5499) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2021).

NPPES Registry Identity

NPI1003582420
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJUSTINE PIDGEONCredential: OD
Location Address400 COMMONWEALTH AVE STE 2Boston, MA 02215-2849
Mailing Address400 Commonwealth Ave Ste 2Boston, MA 02215-2849
Phone(617) 426-0370
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2021
Enumeration DateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
✔ NPI 1003582420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5499
Definition
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.
400 COMMONWEALTH AVE STE 2, Boston, MA 02215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justine Pidgeon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345685616
PECOS Enrollment IDI20240226003354
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 Justine Pidgeon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forefront Eyecare PLLC
1.7 mi
Optometrist
99 BEDFORD STREET, SUITE 102
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 9 clinicians in this Medicare group
NPI 1578713228 (617) 426-0370
Paul M Cangiano Inc
2.0 mi
Optometrist
77 N WASHINGTON ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1588707442 (617) 227-2010

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services27 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.
18 services18 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
90%417 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%56 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. MAHNAZ NOURI M.D.
Ophthalmology
400 COMMONWEALTH AVE STE 2
BOSTON, MA 02215
Suffolk County (617) 651-0938
DR. AMY CATHERINE NAU OD
Optometrist
400 COMMONWEALTH AVE STE 2
BOSTON, MA 02215
Suffolk County (617) 426-0370

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 Justine Pidgeon's NPI number?

The NPI number for Justine Pidgeon is 1003582420. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Justine Pidgeon located?

Justine Pidgeon practices at 400 Commonwealth Ave Ste 2, Boston, MA 02215. The listed phone number is (617) 426-0370.

What is Justine Pidgeon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Justine Pidgeon enrolled in Medicare?

Yes. Justine Pidgeon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justine Pidgeon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Pidgeon reassigns Medicare benefits to 2 organizations: Forefront Eyecare PLLC (Boston, MA) and Paul M Cangiano Inc (Boston, 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 Justine Pidgeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justine Pidgeon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Justine Pidgeon 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.

When was this NPI record last updated?

The NPPES record for Justine Pidgeon was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.