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KUSH PATEL O.D.
NPI 1710696554
Optometrist in Burlington, MA

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
101 MIDDLESEX TPKE STE 8, BURLINGTON, MA 01803(925) 785-9863 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Nov 21, 2022 (2 updates tracked since 2022).

About Kush Patel O.d. NPPES

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

KUSH PATEL O.D. (NPI 1710696554) is an individual optometrist in Burlington, Massachusetts, licensed in Massachusetts (5589) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710696554
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKUSH PATELCredential: O.D.
Location Address101 MIDDLESEX TPKE STE 8Burlington, MA 01803-4914
Mailing Address3386 Hadsell CtPleasanton, CA 94588-2943 · (925) 785-9863
Phone(925) 785-9863
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2022
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1710696554 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 · 5589
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.
101 MIDDLESEX TPKE STE 8, Burlington, MA 01803
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16 Morrill PlAmesbury, MA 01913-3502 · Phone (197) 838-8350
Location 2266 Lincoln AveSaugus, MA 01906-3037 · Phone (178) 123-3683
Location 363 Locust StDanvers, MA 01923-2240 · Phone (197) 877-7001

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 Montana, Blue Cross and Blue Shield of Oklahoma 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

Kush Patel 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 ID6103295803
PECOS Enrollment IDI20221219001788
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01803 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

KP HAPPY EYES, LLC
Optometrist
101 MIDDLESEX TPKE STE 8
BURLINGTON, MA 01803
Middlesex County (781) 270-9800

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 Kush Patel's NPI number?

The NPI number for Kush Patel is 1710696554. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Kush Patel located?

Kush Patel practices at 101 Middlesex Tpke Ste 8, Burlington, MA 01803. The listed phone number is (925) 785-9863.

What is Kush Patel's specialty?

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

Is Kush Patel enrolled in Medicare?

Yes. Kush Patel 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 Kush Patel 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 Kush Patel 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 Kush Patel was last updated on October 3, 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.