DR. PARVATHY A PILLAI M.D.
NPI 1023275997
Ophthalmology in Boston, MA

Active since May 19, 2008PECOS Enrolled
76.58/100
CMS Quality Rating
243 CHARLES ST, BOSTON, MA 02114(617) 647-1226(617) 573-3181 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Parvathy A Pillai M.d. NPPES

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

DR. PARVATHY A PILLAI M.D. (NPI 1023275997) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Maryland (D75406) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2008).

NPPES Registry Identity

NPI1023275997
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. PARVATHY A PILLAICredential: M.D.
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address2411 W Belvedere Ave Ste 502Baltimore, MD 21215-5232 · (410) 601-2020 · Fax (410) 601-8273
Fax(617) 573-3181
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2008
Enumeration DateMay 19, 2008
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1023275997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D75406 Licensed in MA · 250744
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.
243 CHARLES ST, Boston, MA 02114

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Parvathy A Pillai M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779731427
PECOS Enrollment IDI20130913000166
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.

Areas of Expertise CMS Part B claims 20

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.
230 services228 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.
194 services185 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.
112 services110 patients
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.
103 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
63 services63 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

Other Providers at the Same Location NPPES 20

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

Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Anesthesiology
243 CHARLES ST
BOSTON, MA 02114

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 Parvathy Pillai's NPI number?

The NPI number for Parvathy Pillai is 1023275997. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Parvathy Pillai located?

Parvathy Pillai practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 647-1226.

What is Parvathy Pillai's specialty?

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

Is Parvathy Pillai enrolled in Medicare?

Yes. Parvathy Pillai is registered in the Medicare PECOS enrollment system.

What insurance does Parvathy Pillai accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Parvathy Pillai 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 Parvathy Pillai affiliated with any hospitals?

According to CMS data, Parvathy Pillai is affiliated with Sinai Hospital Of Baltimore.

When was this NPI record last updated?

The NPPES record for Parvathy Pillai was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.