PETER A RAPOZA
NPI 1295727584
Ophthalmology in Boston, MA

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114(617) 367-4800(617) 723-7028 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, Dec 20, 2021, Dec 8, 2015 (3 updates tracked since 2015).

About Peter A Rapoza NPPES

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

PETER A RAPOZA (NPI 1295727584) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (75427) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1982).

NPPES Registry Identity

NPI1295727584
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePETER A RAPOZA
Location Address50 STANIFORD ST, SUITE 600Boston, MA 02114-2517
Mailing Address50 Staniford St, Suite 600Boston, MA 02114-2517 · (617) 367-4800 · Fax (617) 723-7028
Fax(617) 723-7028
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1982
Enumeration DateAugust 22, 2005
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1295727584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MA · 75427 Licensed in VT · 042.0018151
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.
50 STANIFORD ST, Boston, MA 02114

Other Identifiers 14

Other0012731MA · Nhp-ma
Other41167Hphc
Other28260Cmsp/hsp
Other043260634Usfhp
Other075427Tufts
Other26762Fallon Community Hp
Other15794Nealth New England
Other4237770Aetna/us Healthcare
Other043260634Cigna
OtherJ12734MA · Bcbs-ma
OtherJ12734Medicare
Medicaid110051644AMA
Other180032134Railroad Medicare-palmett
Other769215Connecticare

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

Peter A Rapoza 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 ID1456311760
PECOS Enrollment IDI20241223000966
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 15

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 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.
723 services685 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
560 services395 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
497 services302 patients
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.
319 services301 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.
251 services180 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
249 services19 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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 20

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

Ophthalmology
50 STANIFORD ST
BOSTON, MA 02114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 STANIFORD ST, SUITE 340
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
50 STANIFORD ST, SUITE 401 S50 401
BOSTON, MA 02114
Pathology (Clinical Pathology/Laboratory Medicine)
50 STANIFORD ST, 3RD FLOOR S50 3 DIABETES UNIT
BOSTON, MA 02114
Optometrist
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Ophthalmology
50 STANIFORD ST, SUITE 600
BOSTON, MA 02114
Clinic/Center (Dental)
50 STANIFORD ST
BOSTON, MA 02114
Dermatology
50 STANIFORD ST, SUITE 200
BOSTON, MA 02114

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 Peter Rapoza's NPI number?

The NPI number for Peter Rapoza is 1295727584. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Peter Rapoza located?

Peter Rapoza practices at 50 Staniford St Suite 600, Boston, MA 02114. The listed phone number is (617) 367-4800.

What is Peter Rapoza's specialty?

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

Is Peter Rapoza enrolled in Medicare?

Yes. Peter Rapoza 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 Peter Rapoza accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Peter Rapoza 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 Peter Rapoza affiliated with any hospitals?

According to CMS data, Peter Rapoza is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Peter Rapoza was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.