DR. PETER LOUIS LOU MD
NPI 1316937709
Ophthalmology in Boston, MA

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10 HAWTHORNE PL, SUITE 106, BOSTON, MA 02114(617) 523-0955(617) 523-5376 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Peter Louis Lou Md NPPES

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

DR. PETER LOUIS LOU MD (NPI 1316937709) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (41309) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1316937709
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PETER LOUIS LOUCredential: MD
Location Address10 HAWTHORNE PL, SUITE 106Boston, MA 02114-2336
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Fax(617) 523-5376
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316937709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 41309
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.
10 HAWTHORNE PL, Boston, MA 02114

Other Identifiers 3

Medicaid2061538MA
OtherM09543MA · Bcbs Ma
Other704090MA · Tufts Health Plan

Accepted 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. Peter Louis Lou Md 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 ID9739129578
PECOS Enrollment IDI20050511000118
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 Reassignments

5

Medicare enrollment records show Peter Lou reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
669 MAIN ST
Wakefield, MA 01880
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group
Ophthalmology
669 MAIN ST
Wakefield, MA 01880
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group
Ophthalmology
1440 MAIN STREET, SUITE 201
Waltham, MA 02451
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
Ophthalmology
138 HAVERHILL ST, SUITE 104
Andover, MA 01810
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 clinicians in this Medicare group
Ophthalmology
63 LINCOLN ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group

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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,470 services28 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.
718 services416 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.
629 services366 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.
530 services299 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
230 services73 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.
183 services155 patients

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.

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.

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

Other Providers at the Same Location NPPES 10

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

Ophthalmology
10 HAWTHORNE PL, SUITE 106
BOSTON, MA 02114
Orthopaedic Surgery
10 HAWTHORNE PL, SUITE 115
BOSTON, MA 02114
Pediatrics
10 HAWTHORNE PL, SUITE 110
BOSTON, MA 02114
Ophthalmology
10 HAWTHORNE PL, SUITE 106
BOSTON, MA 02114
Clinic/Center (Dental)
10 HAWTHORNE PL, SUITE 102
BOSTON, MA 02114
Dentist (Prosthodontics)
10 HAWTHORNE PL, SUITE 102
BOSTON, MA 02114
Pediatrics
10 HAWTHORNE PL, STE 110
BOSTON, MA 02114
Pediatrics
10 HAWTHORNE PL, STE 110
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 Lou's NPI number?

The NPI number for Peter Lou is 1316937709. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Peter Lou located?

Peter Lou practices at 10 Hawthorne Pl Suite 106, Boston, MA 02114. The listed phone number is (617) 523-0955.

What is Peter Lou's specialty?

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

Is Peter Lou enrolled in Medicare?

Yes. Peter Lou 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 organizations bill Medicare for Peter Lou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Lou reassigns Medicare benefits to 5 organizations: North Suburban Eye Associates LLC (Wakefield, MA), North Suburban Eye Associates PC (Wakefield, MA), Massachusetts Eye Research And Surgery Institution, PC (Waltham, MA), Andover Eye Associates, Inc (Andover, MA) and Retina Consultants Of Worcester PC (Worcester, MA). Each 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 Peter Lou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Lou accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and Taro Health list Peter Lou 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 Peter Lou was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.