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DR. KATHERINE MAM OD
NPI 1265021703
Optometrist in Dracut, MA

Active since January 11, 2021PECOS EnrolledAccepts Medicare Assignment
91 MILL ST STE 6, DRACUT, MA 01826(978) 957-4750 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Dr. Katherine Mam Od NPPES

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

DR. KATHERINE MAM OD (NPI 1265021703) is an individual optometrist in Dracut, Massachusetts, licensed in Massachusetts (5445) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tyngsboro, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265021703
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHERINE MAMCredential: OD
Location Address91 MILL ST STE 6Dracut, MA 01826-3277
Mailing Address91 Mill St Ste 6Dracut, MA 01826-3277 · (978) 957-4750
Phone(978) 957-4750
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 11, 2021
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1265021703 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 · 5445
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
91 MILL ST STE 6, Dracut, MA 01826
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Secondary Practice Location 1

Location 127 Old Stonehill RdTyngsboro, MA 01879-2544 · Phone (978) 987-3702

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 and accepts Medicare assignment

Dr. Katherine Mam 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 ID2264849066
PECOS Enrollment IDI20210323001222
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 Katherine Mam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hill Eye Associates, PLLC
Same address
Optometrist
91 MILL ST., STE. 6
Dracut, MA 01826
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1699974352 (978) 957-4750

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 6

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
79 services69 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.
34 services34 patients
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.
29 services28 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.
26 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01826 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.

DR. MICHAEL WILLIAM HILL O.D.
Optometrist
91 MILL ST STE 6
DRACUT, MA 01826
Middlesex County (978) 957-4750

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 Katherine Mam's NPI number?

The NPI number for Katherine Mam is 1265021703. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Katherine Mam located?

Katherine Mam practices at 91 Mill St Ste 6, Dracut, MA 01826. The listed phone number is (978) 957-4750.

What is Katherine Mam's specialty?

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

Is Katherine Mam enrolled in Medicare?

Yes. Katherine Mam 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 Katherine Mam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Mam reassigns Medicare benefits to Hill Eye Associates, PLLC (Dracut, 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 Katherine Mam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Mam 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 Katherine Mam 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 Katherine Mam was last updated on August 28, 2024. 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.