DR. MICAELA RAE GOBEILLE OD
NPI 1033602230
Optometrist in Colchester, CT

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
163 BROADWAY ST, COLCHESTER, CT 06415(860) 537-2020 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 20, 2022, Feb 9, 2021, Jul 22, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Micaela Rae Gobeille Od NPPES

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

DR. MICAELA RAE GOBEILLE OD (NPI 1033602230) is an individual optometrist in Colchester, Connecticut, licensed in New York (PENDING) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1033602230
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICAELA RAE GOBEILLECredential: OD
Location Address163 BROADWAY STColchester, CT 06415-1022
Mailing Address16 Linwood RdCumberland, RI 02864-5207 · (401) 714-2574
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateOctober 20, 20224 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1033602230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NY · PENDING Licensed in MA · 5455
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.

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 3151 (CT)
163 BROADWAY ST, Colchester, CT 06415

Secondary Practice Locations 4

Location 179 Middleville RdNorthport, NY 11768-2200 · Phone (401) 714-2574
Location 243 Jefferson BlvdWarwick, RI 02888-1027 · Phone (401) 941-3322 · Fax (401) 941-3356
Location 3850 Harrison Ave # Acc-3Boston, MA 02118-4001 · Phone (617) 414-4020
Location 434 Main StHebron, CT 06248-1515 · Phone (860) 228-2020

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 and accepts Medicare assignment

Dr. Micaela Rae Gobeille Od 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 ID5395070726
PECOS Enrollment IDI20210902001990
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
22 services20 patients
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.
22 services22 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06415 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Adult Health)
163 BROADWAY ST
COLCHESTER, CT 06415
Physician Assistant (Medical)
163 BROADWAY ST
COLCHESTER, CT 06415
General Practice
163 BROADWAY ST
COLCHESTER, CT 06415
Nurse Practitioner (Adult Health)
163 BROADWAY ST
COLCHESTER, CT 06415
Internal Medicine
163 BROADWAY ST
COLCHESTER, CT 06415
Optometrist
163 BROADWAY ST
COLCHESTER, CT 06415
Social Worker (Clinical)
163 BROADWAY ST
COLCHESTER, CT 06415
Physician Assistant
163 BROADWAY ST
COLCHESTER, CT 06415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033602230, enumerated as an "individual" on June 12, 2018.

The provider is located at 163 BROADWAY ST COLCHESTER, CT 06415 and the phone number is (860) 537-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Micaela Gobeille is affiliated with: BOSTON MEDICAL CENTER.