DR. MICHAEL JOHN GOUSY OD
NPI 1689761561
Optometrist in West Springfield, MA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
120 WESTFIELD ST, WEST SPRINGFIELD, MA 01089(413) 733-2318(413) 732-4824 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael John Gousy Od NPPES

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

DR. MICHAEL JOHN GOUSY OD (NPI 1689761561) is an individual optometrist in West Springfield, Massachusetts, licensed in Massachusetts (3427) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1988).

NPPES Registry Identity

NPI1689761561
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL JOHN GOUSYCredential: OD
Location Address120 WESTFIELD STWest Springfield, MA 01089-2508
Mailing Address120 Westfield StWest Springfield, MA 01089-2508 · (413) 733-2318 · Fax (413) 732-4824
Fax(413) 732-4824
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1988
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 12, 2008
NPI 1689761561 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 · 3427
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.
120 WESTFIELD ST, West Springfield, MA 01089

Other Identifiers 11

Other24651MA · Health New England
Other2110327MA · Aetna
Other000000021089MA · Bmc Health Net Plan
Other763475MA · Tufts Health Plan
Other102459MA · Cigna
Medicare ID-Type Unspecified463258MA
Medicaid0369446MA
Other730566MA · Connceticare
Other152198MA · Harvard Pilgrim Health Pl
OtherW15909MA · Blue Cross Blue Sheild
Medicare UPINU40302MA

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. Michael John Gousy 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 ID2961473699
PECOS Enrollment IDI20040804001653
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 4

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.
217 services217 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.
74 services74 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.
52 services52 patients
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.
46 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01089 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

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

Technician/Technologist (Optician)
120 WESTFIELD ST
WEST SPRINGFIELD, MA 01089

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 Michael Gousy's NPI number?

The NPI number for Michael Gousy is 1689761561. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Michael Gousy located?

Michael Gousy practices at 120 Westfield St, West Springfield, MA 01089. The listed phone number is (413) 733-2318.

What is Michael Gousy's specialty?

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

Is Michael Gousy enrolled in Medicare?

Yes. Michael Gousy 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 Michael Gousy 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 Michael Gousy 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 Michael Gousy was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.