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MS. AMANDA LEE GANNON OD
NPI 1659946093
Optometrist in Beverly, MA

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment
495 CABOT ST STE 1, BEVERLY, MA 01915(978) 921-5000(978) 921-5003 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Jul 16, 2021, May 27, 2021 (3 updates tracked since 2021).

About Ms. Amanda Lee Gannon Od NPPES

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

MS. AMANDA LEE GANNON OD (NPI 1659946093) is an individual optometrist in Beverly, Massachusetts, licensed in Massachusetts (5477) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wellesley, and is a graduate of New England College Of Optometry (2021).

NPPES Registry Identity

NPI1659946093
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMS. AMANDA LEE GANNONCredential: OD
Location Address495 CABOT ST STE 1Beverly, MA 01915-2515
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(978) 921-5000
Fax(978) 921-5003
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2021
Enumeration DateMay 26, 2021
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1659946093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5477
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
495 CABOT ST STE 1, Beverly, MA 01915
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Secondary Practice Location 1

Location 11 Washington StWellesley, MA 02481-1711 · Phone (781) 263-7360

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

Ms. Amanda Lee Gannon 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 ID1759784895
PECOS Enrollment IDI20210727001113
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 2

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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services43 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01915 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 2

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

MYEYEDR OPTOMETRY OF MASSACHUSETTS P C
Optometrist
495 CABOT ST STE 1
BEVERLY, MA 01915
Essex County (978) 921-5000
JESSICA L. STEJNA O.D.
Optometrist
495 CABOT ST STE 1
BEVERLY, MA 01915
Essex County (978) 921-5000

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 Amanda Gannon's NPI number?

The NPI number for Amanda Gannon is 1659946093. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Amanda Gannon located?

Amanda Gannon practices at 495 Cabot St Ste 1, Beverly, MA 01915. The listed phone number is (978) 921-5000.

What is Amanda Gannon's specialty?

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

Is Amanda Gannon enrolled in Medicare?

Yes. Amanda Gannon 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 Amanda Gannon 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 Amanda Gannon 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 Amanda Gannon was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.