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DR. BABAK HOSSEINI O.D.
NPI 1225390446
Optometrist in Bethesda, MD

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
86.97/100
CMS Quality Rating
7101 DEMOCRACY BLVD, SUITE 1800, BETHESDA, MD 20817(301) 365-3670(301) 365-4583 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Babak Hosseini O.d. NPPES

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

DR. BABAK HOSSEINI O.D. (NPI 1225390446) is an individual optometrist in Bethesda, Maryland, licensed in Maryland (TA2304) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2012).

NPPES Registry Identity

NPI1225390446
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BABAK HOSSEINICredential: O.D.
Location Address7101 DEMOCRACY BLVD, SUITE 1800Bethesda, MD 20817-1018
Mailing Address11739 Devilwood DrPotomac, MD 20854-3405 · (240) 281-3145
Phone(301) 365-3670
Fax(301) 365-4583
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2012
Enumeration DateJune 13, 2012
✔ NPI 1225390446 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 MD · TA2304
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.
7101 DEMOCRACY BLVD, Bethesda, MD 20817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.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. Babak Hosseini O.d. 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 ID7113183146
PECOS Enrollment IDI20120719000304
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 10

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.

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.
160 services149 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.
138 services107 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.
99 services87 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.
54 services54 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
27 services26 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20817 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

86.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.4

Other Providers at the Same Location NPPES 5

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

DR. GAIL SIMONE NUNEZ-ROBINSON O.D.
Optometrist
7101 DEMOCRACY BLVD
BETHESDA, MD 20817
Montgomery County (301) 469-9058
DR. JULIE H LIEUW O.D.
Optometrist
7101 DEMOCRACY BLVD, SUITE 1800
BETHESDA, MD 20817
Montgomery County (301) 365-3670
DR. TRANG DIEM LE O.D.
Optometrist
7101 DEMOCRACY BLVD
BETHESDA, MD 20817
Montgomery County (301) 365-8401
MONTGOMERY OPTICS INC.
Optometrist
7101 DEMOCRACY BLVD
BETHESDA, MD 20817
Montgomery County (301) 365-8401
DR. RICHARD SOLOMON OD
Optometrist
7101 DEMOCRACY BLVD
BETHESDA, MD 20817
Montgomery County (301) 365-3670

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 Babak Hosseini's NPI number?

The NPI number for Babak Hosseini is 1225390446. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Babak Hosseini located?

Babak Hosseini practices at 7101 Democracy Blvd Suite 1800, Bethesda, MD 20817. The listed phone number is (301) 365-3670.

What is Babak Hosseini's specialty?

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

Is Babak Hosseini enrolled in Medicare?

Yes. Babak Hosseini 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.

What insurance does Babak Hosseini accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Babak Hosseini 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 Babak Hosseini was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.