THOMAS P PAPPAVASELIO M.D.
NPI 1437133386
Ophthalmology in Lawrence, MA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843(978) 688-6185(978) 689-0731 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas P Pappavaselio M.d. NPPES

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

THOMAS P PAPPAVASELIO M.D. (NPI 1437133386) is an individual ophthalmology provider in Lawrence, Massachusetts, licensed in Massachusetts (50238) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1981).

NPPES Registry Identity

NPI1437133386
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTHOMAS P PAPPAVASELIOCredential: M.D.
Location Address360 MERRIMACK ST, BLDG 9, ENTRANCE ILawrence, MA 01843-1740
Mailing Address360 Merrimack St, Bldg 9, Entrance ILawrence, MA 01843-1740 · (978) 688-6182 · Fax (978) 689-0731
Fax(978) 689-0731
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1981
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 12, 2016
NPI 1437133386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MA · 50238 Licensed in NH · 9113
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.
360 MERRIMACK ST, Lawrence, MA 01843

Other Identifiers 4

Medicare ID-Type UnspecifiedJ04228MA
Medicaid3091267NH
Medicaid110056804AMA
Medicare ID-Type UnspecifiedRE4382NH

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

Thomas P Pappavaselio M.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 ID9638125909
PECOS Enrollment IDI20050330000148, I20060126000734
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 18

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.
891 services770 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
634 services260 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.
444 services428 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
316 services68 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.
266 services185 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).
156 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01843 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Counselor (Professional)
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Analyst
360 MERRIMACK ST
LAWRENCE, MA 01843
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Nurse Practitioner (Family)
360 MERRIMACK ST
LAWRENCE, MA 01843
Clinic/Center (Health Service)
360 MERRIMACK ST
LAWRENCE, MA 01843
Counselor
360 MERRIMACK ST, BUILDING 9 ENTRANCE H
LAWRENCE, MA 01843
Registered Nurse
360 MERRIMACK ST
LAWRENCE, MA 01843

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 Thomas Pappavaselio's NPI number?

The NPI number for Thomas Pappavaselio is 1437133386. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Thomas Pappavaselio located?

Thomas Pappavaselio practices at 360 Merrimack St Bldg 9, Entrance I, Lawrence, MA 01843. The listed phone number is (978) 688-6185.

What is Thomas Pappavaselio's specialty?

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

Is Thomas Pappavaselio enrolled in Medicare?

Yes. Thomas Pappavaselio 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 Thomas Pappavaselio accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Providence Health Plan and WellSense Health Plan list Thomas Pappavaselio 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 Thomas Pappavaselio was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.