NICOLE DAWN POGUE O.D.
NPI 1710241864
Optometrist in Roxbury, MA

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-8472 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Dawn Pogue O.d. NPPES

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

NICOLE DAWN POGUE O.D. (NPI 1710241864) is an individual optometrist in Roxbury, Massachusetts, licensed in Massachusetts (4911) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2012).

NPPES Registry Identity

NPI1710241864
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE DAWN POGUECredential: O.D.
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address55 Dimock StRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 541-8472
Fax(617) 541-8472
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2012
Enumeration DateJuly 3, 2012
Last NPPES UpdateJanuary 21, 2020
NPI 1710241864 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 · 4911
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.

45 DIMOCK ST, Roxbury, MA 02119

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

Nicole Dawn Pogue O.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 ID4183874399
PECOS Enrollment IDI20121024000817
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.

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).
60 services59 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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.

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
45 DIMOCK ST
ROXBURY, MA 02119
Pharmacist
45 DIMOCK ST
ROXBURY, MA 02119
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Social Worker (Clinical)
45 DIMOCK ST
BOSTON, MA 02119
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Dental Hygienist
45 DIMOCK ST
ROXBURY, MA 02119
Pediatrics
45 DIMOCK ST
ROXBURY, MA 02119

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 Nicole Pogue's NPI number?

The NPI number for Nicole Pogue is 1710241864. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Nicole Pogue located?

Nicole Pogue practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Nicole Pogue's specialty?

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

Is Nicole Pogue enrolled in Medicare?

Yes. Nicole Pogue 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 Nicole Pogue 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 1 other insurer list Nicole Pogue 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 Nicole Pogue was last updated on January 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.