ISAIAH W GIESE M.D.
NPI 1235544933
Ophthalmology in Lancaster, MA

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
479 OLD UNION TPKE, LANCASTER, MA 01523(978) 537-3900(978) 537-6030 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, May 2, 2022, Dec 6, 2021 and 2 more (5 updates tracked since 2015).

About Isaiah W Giese M.d. NPPES

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

ISAIAH W GIESE M.D. (NPI 1235544933) is an individual ophthalmology provider in Lancaster, Massachusetts, licensed in Massachusetts (290439) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1235544933
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameISAIAH W GIESECredential: M.D.
Location Address479 OLD UNION TPKELancaster, MA 01523-3029
Mailing Address479 Old Union TpkeLancaster, MA 01523-3029 · (978) 537-3900
Fax(978) 537-6030
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateDecember 6, 20235 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1235544933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 290439
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 290439 (MA)
479 OLD UNION TPKE, Lancaster, MA 01523

Secondary Practice Locations 4

Location 1255 Park Ave Ste 606Worcester, MA 01609-1930 · Phone (508) 753-1032 · Fax (508) 755-5705
Location 274 Main StGardner, MA 01440-2634 · Phone (978) 632-3930 · Fax (978) 632-3158
Location 3413 Main StAthol, MA 01331-1842 · Phone (978) 249-4209 · Fax (978) 249-4102
Location 4100 Powdermill RdActon, MA 01720-5932 · Phone (978) 897-7212 · Fax (978) 461-0345

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

Isaiah W Giese M.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 ID6709199326
PECOS Enrollment IDI20211210000286
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 16

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 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.
358 services293 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
290 services278 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.
132 services121 patients
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.
131 services131 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
101 services98 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.
88 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01523 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Technician/Technologist (Optician)
479 OLD UNION TPKE
LANCASTER, MA 01523
Technician/Technologist (Optician)
479 OLD UNION TPKE
LANCASTER, MA 01523
Ophthalmology (Retina Specialist)
479 OLD UNION TPKE
LANCASTER, MA 01523
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523

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 Isaiah Giese's NPI number?

The NPI number for Isaiah Giese is 1235544933. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Isaiah Giese located?

Isaiah Giese practices at 479 Old Union Tpke, Lancaster, MA 01523. The listed phone number is (978) 537-3900.

What is Isaiah Giese's specialty?

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

Is Isaiah Giese enrolled in Medicare?

Yes. Isaiah Giese 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 Isaiah Giese accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Isaiah Giese 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 Isaiah Giese affiliated with any hospitals?

According to CMS data, Isaiah Giese is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Isaiah Giese was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.