MICHELLE THEZIN KONG OD
NPI 1669163069
Optometrist in Boston, MA
About Michelle Thezin Kong Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE THEZIN KONG OD (NPI 1669163069) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (OPT5637) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michelle Thezin Kong 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Kong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 63 clinicians in this Medicare group
Needham, MA 02494
- Reassigned Medicare billing, Massachusetts enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Michelle Kong's NPI number?
The NPI number for Michelle Kong is 1669163069. It was assigned to this individual provider in the NPPES registry on May 16, 2023.
Where is Michelle Kong located?
Michelle Kong practices at 930 Commonwealth Ave, Boston, MA 02215. The listed phone number is (617) 262-2020.
What is Michelle Kong's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michelle Kong enrolled in Medicare?
Yes. Michelle Kong 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.
Which organizations bill Medicare for Michelle Kong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kong reassigns Medicare benefits to 2 organizations: New England Eye Institute Inc. (Boston, MA) and The Boston Foundation For Sight, Inc. (Needham, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Kong accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michelle Kong 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 Michelle Kong was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michelle Thezin Kong, OD · NPI 1669163069
Optometrist provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 16, 2023.
## Identity
- **NPI:** 1669163069 (Entity type: Individual)
- **Enumerated:** May 16, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT5637 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 930 COMMONWEALTH AVE, Boston, MA 02215-1274
- **Phone:** (617) 262-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New England Eye Institute Inc. (NPI 1487607388, Boston, MA); The Boston Foundation For Sight, Inc. (NPI 1023077757, Needham, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669163069) · Data from the CMS NPPES public registry.