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DR. ANUPAMA SEHGAL O.D.
NPI 1730248261
Optometrist in Natick, MA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
1245 WORCESTER ST, NATICK MALL LENSCRAFTERS SUITE 1024, NATICK, MA 01760(508) 653-0919(508) 653-0375 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anupama Sehgal O.d. NPPES

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

DR. ANUPAMA SEHGAL O.D. (NPI 1730248261) is an individual optometrist in Natick, Massachusetts, licensed in Massachusetts (4157) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).

NPPES Registry Identity

NPI1730248261
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANUPAMA SEHGALCredential: O.D.
Location Address1245 WORCESTER ST, NATICK MALL LENSCRAFTERS SUITE 1024Natick, MA 01760-1515
Mailing Address9 Red Gate LnSouthborough, MA 01772-1440 · (508) 485-3765
Phone(508) 653-0919
Fax(508) 653-0375
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1999
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1730248261 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 · 4157
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.
1245 WORCESTER ST, Natick, MA 01760
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Other Identifiers 5

Other2503532MA · Aetna
OtherMA4157MA · Eyemed
OtherAA9401MA · Harvard Pilgrim
OtherW16248MA · Blue Cross Blue Shield
Medicare UPINU81516MA

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

Dr. Anupama Sehgal 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 ID8628128634
PECOS Enrollment IDI20090615000038
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 5

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.
79 services78 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.
34 services28 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
22 services22 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.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01760 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 4

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

CONCORD -IMTREX INC
Technician/Technologist (Optician)
1245 WORCESTER ST
NATICK, MA 01760
Middlesex County (508) 651-9811
WARBY PARKER INC.
Eyewear Supplier
1245 WORCESTER ST
NATICK, MA 01760
Middlesex County (888) 492-7297
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
1245 WORCESTER ST, NATICK MALL STE #1024
NATICK, MA 01760
Middlesex County (508) 653-0223
JANNA MENDENHALL O.D.
Optometrist
1245 WORCESTER ST, SEHGAL EYE ASSOCIATES
NATICK, MA 01760
Middlesex County (508) 653-0919

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 Anupama Sehgal's NPI number?

The NPI number for Anupama Sehgal is 1730248261. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Anupama Sehgal located?

Anupama Sehgal practices at 1245 Worcester St Natick Mall Lenscrafters Suite 1024, Natick, MA 01760. The listed phone number is (508) 653-0919.

What is Anupama Sehgal's specialty?

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

Is Anupama Sehgal enrolled in Medicare?

Yes. Anupama Sehgal 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 Anupama Sehgal 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 Anupama Sehgal 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 Anupama Sehgal was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.