DR. AMRIT POKHAREL OD
NPI 1427662972
Optometrist in Framingham, MA

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702(888) 964-6681(888) 662-0859 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Mar 5, 2021, Sep 2, 2020 (3 updates tracked since 2020).

About Dr. Amrit Pokharel Od NPPES

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

DR. AMRIT POKHAREL OD (NPI 1427662972) is an individual optometrist in Framingham, Massachusetts, licensed in Massachusetts (5449) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427662972
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMRIT POKHARELCredential: OD
Location Address100 CROSSING BLVD STE 300Framingham, MA 01702-5555
Mailing Address18 Ashland Woods LnAshland, MA 01721-4418 · (571) 457-1971
Fax(888) 662-0859
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 2, 2020
Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1427662972 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 · 5449
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.
100 CROSSING BLVD STE 300, Framingham, MA 01702

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. Amrit Pokharel Od 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 ID345647871
PECOS Enrollment IDI20210924002112, I20240923002455
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 7

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.
537 services537 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
435 services392 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.
427 services417 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.
347 services334 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.
331 services331 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
78 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01702 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Nurse Practitioner
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Nurse Practitioner (Family)
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Audiologist
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Counselor (Mental Health)
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Internal Medicine (Geriatric Medicine)
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Nurse Practitioner
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Nurse Practitioner (Family)
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
Optometrist
100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702

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 Amrit Pokharel's NPI number?

The NPI number for Amrit Pokharel is 1427662972. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Amrit Pokharel located?

Amrit Pokharel practices at 100 Crossing Blvd Ste 300, Framingham, MA 01702. The listed phone number is (888) 964-6681.

What is Amrit Pokharel's specialty?

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

Is Amrit Pokharel enrolled in Medicare?

Yes. Amrit Pokharel 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 Amrit Pokharel accept?

Health plans from Anthem Blue Cross and Blue Shield list Amrit Pokharel 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 Amrit Pokharel was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.