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ANA LUIZA FONTES DE AZEVEDO COSTA M.D., PHD
NPI 1750915450
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Peabody, MA

Active since March 03, 2020PECOS Enrolled
100/100
CMS Quality Rating
10 CENTENNIAL DR, PEABODY, MA 01960(781) 216-3400 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2024, Jun 8, 2024, Jul 11, 2022 and 1 more (4 updates tracked since 2020).

About Ana Luiza Fontes De Azevedo Costa M.d., Phd NPPES

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

ANA LUIZA FONTES DE AZEVEDO COSTA M.D., PHD (NPI 1750915450) is an individual pediatric ophthalmology and strabismus specialist in Peabody, Massachusetts, licensed in Massachusetts (1020205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1750915450
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameANA LUIZA FONTES DE AZEVEDO COSTACredential: M.D., PHD
Location Address10 CENTENNIAL DRPeabody, MA 01960-7938
Mailing Address10 Centennial DrPeabody, MA 01960-7938 · (781) 216-3400
Phone(781) 216-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 3, 2020
Last NPPES UpdateJuly 5, 20244 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1750915450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
Licenses✔ Licensed in MA · 1020205✔ Licensed in MO · 2022010573
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
10 CENTENNIAL DR, Peabody, MA 01960
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Secondary Practice Locations 2

Location 15 Coliseum AveNashua, NH 03063-3206 · Phone (603) 689-9304 · Fax (603) 689-9304
Location 2300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ana Luiza Fontes De Azevedo Costa M.d., Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850772948
PECOS Enrollment IDI20240717001950, I20241001003911
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ana Luiza Fontes De Azevedo Costa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Hospital Ophthalmology Foundation Inc
15 mi
Ophthalmology
300 LONGWOOD AVENUE, FEGAN 4
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 71 clinicians in this Medicare group
NPI 1770679045 (617) 355-6401
Nashua Eye Associates, P.A.
32 mi
Ophthalmology
5 COLISEUM AVE
Nashua, NH 03063
  • Reassigned Medicare billing, New Hampshire enrollment
  • 13 clinicians in this Medicare group
NPI 1801891247 (603) 882-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

JOSEPH RICHARD SCARAMOZZA MD
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MRS. LINDSAY MADELINE DICKER CRNP
Nurse Practitioner (Pediatrics)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
KATHERINE WU M.D.
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
ROBERT W MULROY PT
Physical Therapist
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 826-7230
IRIS KADDIS MD
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
DR. CANDICE M SNYDER M.D.
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MELANIE PIERRE NP
Nurse Practitioner (Pediatrics)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MRS. SHARON PAIGE FISCHER LICSW
Social Worker (Clinical)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 818-6785

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 Ana Luiza Fontes De Azevedo Costa's NPI number?

The NPI number for Ana Luiza Fontes De Azevedo Costa is 1750915450. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Ana Luiza Fontes De Azevedo Costa located?

Ana Luiza Fontes De Azevedo Costa practices at 10 Centennial Dr, Peabody, MA 01960. The listed phone number is (781) 216-3400.

What is Ana Luiza Fontes De Azevedo Costa's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Ana Luiza Fontes De Azevedo Costa enrolled in Medicare?

Yes. Ana Luiza Fontes De Azevedo Costa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ana Luiza Fontes De Azevedo Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Luiza Fontes De Azevedo Costa reassigns Medicare benefits to 2 organizations: Childrens Hospital Ophthalmology Foundation Inc (Boston, MA) and Nashua Eye Associates, P.A. (Nashua, NH). 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 Ana Luiza Fontes De Azevedo Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ana Luiza Fontes De Azevedo Costa accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Ana Luiza Fontes De Azevedo Costa 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 Ana Luiza Fontes De Azevedo Costa was last updated on July 5, 2024. 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.