ASHLEY ELISE SOUSA O.D.
NPI 1356783526
Optometrist in Dartmouth, MA

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment
83.37/100
CMS Quality Rating
51 STATE RD, DARTMOUTH, MA 02747(508) 994-1400(508) 910-2204 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2022, Jan 17, 2020, Apr 27, 2017 (3 updates tracked since 2017).

About Ashley Elise Sousa O.d. NPPES

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

ASHLEY ELISE SOUSA O.D. (NPI 1356783526) is an individual optometrist in Dartmouth, Massachusetts, licensed in Massachusetts (4973) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1356783526
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameASHLEY ELISE SOUSACredential: O.D.
Location Address51 STATE RDDartmouth, MA 02747-3319
Mailing Address51 State RdDartmouth, MA 02747-3319 · (508) 994-1400 · Fax (508) 910-2212
Fax(508) 910-2204
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2013
Enumeration DateJuly 29, 2013
Last NPPES UpdateSeptember 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1356783526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MA · 4973
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.

51 STATE RD, Dartmouth, MA 02747

Other Identifiers 1

Medicaid110101424AMA

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

Ashley Elise Sousa O.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 ID1254565013
PECOS Enrollment IDI20131009001892
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 7

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.
190 services190 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.
177 services149 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.
69 services68 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.
63 services63 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
17 services16 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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.

83.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost44.57

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.

Clinic/Center (Ambulatory Surgical)
51 STATE RD
DARTMOUTH, MA 02747
Eyewear Supplier
51 STATE RD
DARTMOUTH, MA 02747
Eyewear Supplier
51 STATE RD
NORTH DARTMOUTH, MA 02747
Technician/Technologist (Optician)
51 STATE RD
NORTH DARTMOUTH, MA 02747
Ophthalmology
51 STATE RD
NORTH DARTMOUTH, MA 02747
Ophthalmology
51 STATE RD
DARTMOUTH, MA 02747
Optometrist
51 STATE RD
DARTMOUTH, MA 02747
Ophthalmology
51 STATE RD
NORTH DARTMOUTH, MA 02747

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 Ashley Sousa's NPI number?

The NPI number for Ashley Sousa is 1356783526. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Ashley Sousa located?

Ashley Sousa practices at 51 State Rd, Dartmouth, MA 02747. The listed phone number is (508) 994-1400.

What is Ashley Sousa's specialty?

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

Is Ashley Sousa enrolled in Medicare?

Yes. Ashley Sousa 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 Ashley Sousa 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 2 other insurers list Ashley Sousa 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 Ashley Sousa was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.