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DR. ANTHONY JOSEPH FOTI OD
NPI 1255317830
Optometrist - Pediatrics in Wilmington, MA

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON RD, SUITE 102, WILMINGTON, MA 01887(978) 658-9512(978) 658-3857 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Joseph Foti Od NPPES

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

DR. ANTHONY JOSEPH FOTI OD (NPI 1255317830) is an individual pediatrics provider in Wilmington, Massachusetts, licensed in Massachusetts (3627) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1990).

NPPES Registry Identity

NPI1255317830
Entity TypeIndividualMale
Primary Taxonomy152WP0200X
Provider Legal NameDR. ANTHONY JOSEPH FOTICredential: OD
Location Address200 JEFFERSON RD, SUITE 102Wilmington, MA 01887-1963
Mailing Address2 Victoria LnStoneham, MA 02180-2221
Phone(978) 658-9512
Fax(978) 658-3857
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1990
Enumeration DateDecember 15, 2005
Last NPPES UpdateJuly 2, 2010
✔ NPI 1255317830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in MA · 3627
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
200 JEFFERSON RD, Wilmington, MA 01887
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Other Identifiers 3

Medicare ID-Type Unspecified442058MA
Medicare UPINU10210MA
Medicaid0356069MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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. Anthony Joseph Foti 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 ID4981896594
PECOS Enrollment IDI20101013001202
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 5

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 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.
89 services87 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.
65 services59 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.
17 services17 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.
13 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01887 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

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

MICHAEL J. THOMAS, P.C.
Chiropractor
200 JEFFERSON RD, STE 106
WILMINGTON, MA 01887
Middlesex County (987) 658-3699

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 Anthony Foti's NPI number?

The NPI number for Anthony Foti is 1255317830. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Anthony Foti located?

Anthony Foti practices at 200 Jefferson Rd Suite 102, Wilmington, MA 01887. The listed phone number is (978) 658-9512.

What is Anthony Foti's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Anthony Foti enrolled in Medicare?

Yes. Anthony Foti 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 Anthony Foti accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Anthony Foti 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 Anthony Foti was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.