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JIAYI ZHOU OD, PHD
NPI 1396285748
Optometrist in Burlington, MA

Active since March 06, 2017PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
31 MALL RD, DEPARTMENT OF OPHTHALMOLOGY, BURLINGTON, MA 01803(781) 744-8555(781) 744-2540 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jiayi Zhou Od, Phd NPPES

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

JIAYI ZHOU OD, PHD (NPI 1396285748) is an individual optometrist in Burlington, Massachusetts, licensed in Massachusetts (5200) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New England College Of Optometry (2016).

NPPES Registry Identity

NPI1396285748
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJIAYI ZHOUCredential: OD, PHD
Location Address31 MALL RD, DEPARTMENT OF OPHTHALMOLOGYBurlington, MA 01803
Mailing Address31 Mall Rd, Department Of OphthalmologyBurlington, MA 01803-4138 · (781) 744-8555 · Fax (781) 744-2540
Phone(781) 744-8555
Fax(781) 744-2540
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2016
Enumeration DateMarch 6, 2017
Last NPPES UpdateJuly 17, 2018
✔ NPI 1396285748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MA · 5200✔ Licensed in NH · 0940
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.
31 MALL RD, Burlington, MA 01803
Open in Google Maps ↗

Secondary Practice Locations 2

Location 142 Langley RdNewton, MA 02459-1918 · Phone (617) 431-5747 · Fax (617) 686-2981
Location 2407 Boston Post RdWeston, MA 02493-1552 · Phone (781) 891-3937 · Fax (617) 459-4456

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Jiayi Zhou Od, Phd 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 ID9830476217
PECOS Enrollment IDI20170512001081
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 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.

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.
112 services112 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.
74 services74 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
31 services31 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 01803 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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DVA HEALTHCARE OF MASSACHUSETTS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
31 MALL RD, SUITE 1B
BURLINGTON, MA 01803
Middlesex County (781) 270-3580

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 Jiayi Zhou's NPI number?

The NPI number for Jiayi Zhou is 1396285748. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Jiayi Zhou located?

Jiayi Zhou practices at 31 Mall Rd Department Of Ophthalmology, Burlington, MA 01803. The listed phone number is (781) 744-8555.

What is Jiayi Zhou's specialty?

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

Is Jiayi Zhou enrolled in Medicare?

Yes. Jiayi Zhou 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 Jiayi Zhou 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 Jiayi Zhou 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 Jiayi Zhou was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.