SIMON DAVID ARCHAMBAULT MS
NPI 1215678792
Ophthalmology in Boston, MA
About Simon David Archambault Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMON DAVID ARCHAMBAULT MS (NPI 1215678792) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (293609) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of University Of Connecticut School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Simon David Archambault Ms 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.
Medicare Billing Reassignment
Medicare enrollment records show Simon Archambault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 106 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tufts Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Simon Archambault's NPI number?
The NPI number for Simon Archambault is 1215678792. It was assigned to this individual provider in the NPPES registry on April 6, 2022.
Where is Simon Archambault located?
Simon Archambault practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-4648.
What is Simon Archambault's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Simon Archambault enrolled in Medicare?
Yes. Simon Archambault 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 organization bills Medicare for Simon Archambault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simon Archambault reassigns Medicare benefits to Pratt Ophthalmology Associates Inc (Boston, 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 Simon Archambault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simon Archambault 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 list Simon Archambault 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 Simon Archambault affiliated with any hospitals?
According to CMS data, Simon Archambault is affiliated with Tufts Medical Center.
When was this NPI record last updated?
The NPPES record for Simon Archambault was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Simon David Archambault, MS · NPI 1215678792
Ophthalmology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1215678792 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 293609 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WASHINGTON ST, Boston, MA 02111-1552
- **Phone:** (617) 636-4648
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pratt Ophthalmology Associates Inc (NPI 1083660534, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215678792) · Data from the CMS NPPES public registry.