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DR. ALEX RUSSAKOVSKY O.D.
NPI 1366634792
Optometrist in Somerville, MA

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
22 MCGRATH HWY, PEARLE VISION, SOMERVILLE, MA 02143(617) 623-7522 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alex Russakovsky O.d. NPPES

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

DR. ALEX RUSSAKOVSKY O.D. (NPI 1366634792) is an individual optometrist in Somerville, Massachusetts, licensed in Massachusetts (4635) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2007).

NPPES Registry Identity

NPI1366634792
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEX RUSSAKOVSKYCredential: O.D.
Location Address22 MCGRATH HWY, PEARLE VISIONSomerville, MA 02143-4508
Mailing Address22 Mcgrath Hwy, # 4Somerville, MA 02143-4508 · (617) 285-4575
Phone(617) 623-7522
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2007
Enumeration DateAugust 9, 2007
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1366634792 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 · 4635
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.
22 MCGRATH HWY, Somerville, MA 02143
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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. Alex Russakovsky 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 ID3577717206
PECOS Enrollment IDI20130206000072
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

2

Medicare enrollment records show Alex Russakovsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Twin City Eye, Inc.
0.1 mi
Optometrist
22 MCGRATH HWY # 4, PEARLE VISION
Somerville, MA 02143
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1639447329 (617) 625-3400
Wilmington Eye Group, Inc.
13 mi
Optometrist
229 MAIN ST, PEARLE VISION
Wilmington, MA 01887
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1003226879 (978) 658-8890

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 4

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.
147 services147 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.
123 services123 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.
25 services14 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).
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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 5

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

DR. JAMES A LUCCIO D.O.
Optometrist (Occupational Vision)
22 MCGRATH HWY, PEARLE VISION CENTER
SOMERVILLE, MA 02143
Middlesex County (617) 623-7522
MR. PAUL I KNOX RN LMHC
Counselor (Mental Health)
22 MCGRATH HWY, TWIN CITY OFFICES SUITE 204
SOMERVILLE, MA 02143
Middlesex County (617) 623-1814
MR. DEREK DYKES MOORE LICSW
Social Worker (Clinical)
22 MCGRATH HWY
SOMERVILLE, MA 02143
Middlesex County (617) 623-1814
AMO, INC.
Technician/Technologist (Optician)
22 MCGRATH HWY
SOMERVILLE, MA 02143
Middlesex County (617) 623-7522
MICHAEL JOSEPH HAYES
Counselor
22 MCGRATH HWY, SUITE 204
SOMERVILLE, MA 02143
Middlesex County (617) 623-1814

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 Alex Russakovsky's NPI number?

The NPI number for Alex Russakovsky is 1366634792. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Alex Russakovsky located?

Alex Russakovsky practices at 22 Mcgrath Hwy Pearle Vision, Somerville, MA 02143. The listed phone number is (617) 623-7522.

What is Alex Russakovsky's specialty?

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

Is Alex Russakovsky enrolled in Medicare?

Yes. Alex Russakovsky 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 Alex Russakovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Russakovsky reassigns Medicare benefits to 2 organizations: Twin City Eye, Inc. (Somerville, MA) and Wilmington Eye Group, Inc. (Wilmington, 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 Alex Russakovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Russakovsky 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 list Alex Russakovsky 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 Alex Russakovsky was last updated on June 27, 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.