DR. PHILLIP M GENDELMAN MD
NPI 1427054576
Ophthalmology in Burlington, MA

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
172 CAMBRIDGE ST, BURLINGTON, MA 01803(617) 202-2020(617) 734-3264 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jul 3, 2025, Aug 23, 2024 and 3 more (6 updates tracked since 2017).

About Dr. Phillip M Gendelman Md NPPES

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

DR. PHILLIP M GENDELMAN MD (NPI 1427054576) is an individual ophthalmology provider in Burlington, Massachusetts, licensed in Massachusetts (46245) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brookline, and is a graduate of Yale University School Of Medicine (1979).

NPPES Registry Identity

NPI1427054576
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PHILLIP M GENDELMANCredential: MD
Location Address172 CAMBRIDGE STBurlington, MA 01803-2921
Mailing Address24 Webster PlBrookline, MA 02445-7937 · (617) 202-2020 · Fax (617) 202-2020
Fax(617) 734-3264
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1979
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 10, 20256 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1427054576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 46245
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.
172 CAMBRIDGE ST, Burlington, MA 01803

Secondary Practice Location 1

Location 124 Webster PlBrookline, MA 02445-7937 · Phone (617) 202-2020 · Fax (617) 202-2020

Other Identifiers 2

OtherCE5062Railroad Medicare
Medicaid6164552MA

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

Dr. Phillip M Gendelman Md 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 ID3274589320
PECOS Enrollment IDI20050322001129
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 12

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.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
1,781 services1,142 patients
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.
1,437 services1,166 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.
1,109 services725 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.
691 services666 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).
563 services549 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
236 services194 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$58.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Ophthalmologic Surgery)
172 CAMBRIDGE ST
BURLINGTON, MA 01803
Dermatology
172 CAMBRIDGE ST, SUITE 204
BURLINGTON, MA 01803
Licensed Practical Nurse
172 CAMBRIDGE ST, SUITE 204
BURLINGTON, MA 01803
Licensed Practical Nurse
172 CAMBRIDGE ST, SUITE 204
BURLINGTON, MA 01803
Ophthalmology
172 CAMBRIDGE ST
BURLINGTON, MA 01803
Durable Medical Equipment & Medical Supplies
172 CAMBRIDGE ST
BURLINGTON, MA 01803
Optometrist
172 CAMBRIDGE ST
BURLINGTON, MA 01803
Clinic/Center (Ophthalmologic Surgery)
172 CAMBRIDGE ST
BURLINGTON, MA 01803

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 Phillip Gendelman's NPI number?

The NPI number for Phillip Gendelman is 1427054576. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Phillip Gendelman located?

Phillip Gendelman practices at 172 Cambridge St, Burlington, MA 01803. The listed phone number is (617) 202-2020.

What is Phillip Gendelman's specialty?

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

Is Phillip Gendelman enrolled in Medicare?

Yes. Phillip Gendelman 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 Phillip Gendelman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Phillip Gendelman 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 Phillip Gendelman was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.