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STEVEN SIKALIS O.D.
NPI 1427034263
Optometrist in Lowell, MA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
850 CHELMSFORD ST, LOWELL, MA 01851(978) 452-0127(978) 452-1749 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Steven Sikalis O.d. NPPES

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

STEVEN SIKALIS O.D. (NPI 1427034263) is an individual optometrist in Lowell, Massachusetts, licensed in Massachusetts (3120) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1984).

NPPES Registry Identity

NPI1427034263
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEVEN SIKALISCredential: O.D.
Location Address850 CHELMSFORD STLowell, MA 01851-5149
Mailing Address850 Chelmsford StLowell, MA 01851-5149 · (978) 452-0127 · Fax (978) 452-1749
Phone(978) 452-0127
Fax(978) 452-1749
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1984
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427034263 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 · 3120
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.
850 CHELMSFORD ST, Lowell, MA 01851
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Other Identifiers 12

Other22-00081MA · Evercare
Medicare ID-Type Unspecified410558MA
Other0020543MA · Neighborhood Health Plan
Medicare UPINW85439MA
Other590587MA · Aetna
Other997540MA · Network Health
OtherW15832MA · Blue Cross Blue Shield
Medicaid0353639MA
OtherB20886201MA · Cigna
Other22-00463MA · United Healthare
Other152048MA · Harvard Pilgrim
Other725797MA · Tufts

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

Steven Sikalis 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 ID4880758648
PECOS Enrollment IDI20090123000170
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 5

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.
112 services110 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.
29 services29 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.
23 services22 patients
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.
20 services20 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01851 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 7

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

CHRISTOPHER A KARALEKAS O.D.
Optometrist
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 452-0127
SIKALIS EYE ASSOCIATES
Optometrist
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 452-0127
STEPHEN JAMES HARNEY O.D.
Optometrist
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 452-0127
CROSS POINT FAMILY DENTAL, P.C.
Clinic/Center (Dental)
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 459-6467
EDUARD PEYSAKHOV DMD
Dentist
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 459-6467
BEAUDETTE HOME MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 458-4163
ADVANCED EYE CARE ASSOCIATES
Optometrist
850 CHELMSFORD ST
LOWELL, MA 01851
Middlesex County (978) 452-0127

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 Steven Sikalis's NPI number?

The NPI number for Steven Sikalis is 1427034263. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Steven Sikalis located?

Steven Sikalis practices at 850 Chelmsford St, Lowell, MA 01851. The listed phone number is (978) 452-0127.

What is Steven Sikalis's specialty?

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

Is Steven Sikalis enrolled in Medicare?

Yes. Steven Sikalis 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 Steven Sikalis 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 Steven Sikalis 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 Steven Sikalis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.