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JAKE DUCLOS FIORE OD
NPI 1104556232
Optometrist in Waltham, MA

Active since June 13, 2022PECOS Enrolled
289 MOODY ST, WALTHAM, MA 02453(781) 894-2127 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jake Duclos Fiore Od NPPES

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

JAKE DUCLOS FIORE OD (NPI 1104556232) is an individual optometrist in Waltham, Massachusetts, licensed in Massachusetts (5569) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104556232
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAKE DUCLOS FIORECredential: OD
Location Address289 MOODY STWaltham, MA 02453-5284
Mailing Address289 Moody StWaltham, MA 02453-5284 · (781) 894-2127
Phone(781) 894-2127
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateNovember 1, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1104556232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5569
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
289 MOODY ST, Waltham, MA 02453
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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)

Jake Duclos Fiore Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608251954
PECOS Enrollment IDI20220922001521
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 Reassignment

Medicare enrollment records show Jake Fiore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ejc Eyecare, LLC
0.1 mi
Optometrist
362 MOODY ST
Waltham, MA 02453
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1235368275 (781) 894-0081

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 2

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 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.
31 services31 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02453 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.

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.

VIVIAN CHUNG
Optometrist
289 MOODY ST
WALTHAM, MA 02453
Middlesex County (781) 894-2127
JACQUELINE ROSE SMITH
Optometrist
289 MOODY ST
WALTHAM, MA 02453
Middlesex County (781) 894-2127

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 Jake Fiore's NPI number?

The NPI number for Jake Fiore is 1104556232. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Jake Fiore located?

Jake Fiore practices at 289 Moody St, Waltham, MA 02453. The listed phone number is (781) 894-2127.

What is Jake Fiore's specialty?

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

Is Jake Fiore enrolled in Medicare?

Yes. Jake Fiore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jake Fiore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Fiore reassigns Medicare benefits to Ejc Eyecare, LLC (Waltham, MA). The 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 Jake Fiore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Fiore 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 Jake Fiore 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 Jake Fiore was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.