Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELTON KIT ZHOU MD
NPI 1396311387
Ophthalmology in Lexington, MA

Active since May 31, 2021PECOS Enrolled
21 WORTHEN RD, LEXINGTON, MA 02421(781) 876-2020 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2022, May 31, 2021 (2 updates tracked since 2021).

About Dr. Elton Kit Zhou Md NPPES

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

DR. ELTON KIT ZHOU MD (NPI 1396311387) is an individual ophthalmology provider in Lexington, Massachusetts, licensed in Massachusetts (1027258) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2022).

NPPES Registry Identity

NPI1396311387
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ELTON KIT ZHOUCredential: MD
Location Address21 WORTHEN RDLexington, MA 02421-4835
Mailing Address1330 Boylston St Unit 312Boston, MA 02215-5513 · (781) 876-2020
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2022
Enumeration DateMay 31, 2021
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1396311387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 1027258
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.
21 WORTHEN RD, Lexington, MA 02421

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elton Kit Zhou Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264811272
PECOS Enrollment IDI20260629000476
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 Elton Zhou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Social Worker
21 WORTHEN RD, SUITE 2
LEXINGTON, MA 02421

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 Elton Zhou's NPI number?

The NPI number for Elton Zhou is 1396311387. It was assigned to this individual provider in the NPPES registry on May 31, 2021.

Where is Elton Zhou located?

Elton Zhou practices at 21 Worthen Rd, Lexington, MA 02421. The listed phone number is (781) 876-2020.

What is Elton Zhou's specialty?

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

Is Elton Zhou enrolled in Medicare?

Yes. Elton Zhou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elton Zhou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elton Zhou reassigns Medicare benefits to 2 organizations: Lexington Eye Associates - Bid (Lexington, MA) and Lexington Eye Associates, Inc (Lexington, 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 Elton Zhou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elton Zhou 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 Elton 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 Elton Zhou was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.