1. Home
  2. Directory
  3. Massachusetts
  4. Brighton
  5. Optometrist
  6. NPI Profile

KRISTEN MARIE BANEK O.D.
NPI 1790948420
Optometrist in Brighton, MA

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
372 WASHINGTON ST, BRIGHTON, MA 02135(617) 782-6650(617) 782-2660 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen Marie Banek O.d. NPPES

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

KRISTEN MARIE BANEK O.D. (NPI 1790948420) is an individual optometrist in Brighton, Massachusetts, licensed in Virginia (0618001772) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2008).

NPPES Registry Identity

NPI1790948420
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTEN MARIE BANEKCredential: O.D.
Location Address372 WASHINGTON STBrighton, MA 02135-2725
Mailing Address372 Washington StBrighton, MA 02135-2725 · (617) 782-6650 · Fax (617) 782-2660
Phone(617) 782-6650
Fax(617) 782-2660
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateNovember 15, 2013
✔ NPI 1790948420 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 VA · 0618001772
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.
372 WASHINGTON ST, Brighton, MA 02135
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, 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

Kristen Marie Banek 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 ID4082780804
PECOS Enrollment IDI20150714002802
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 9

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.
107 services107 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.
45 services38 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
45 services43 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.
36 services30 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.
33 services33 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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 3

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

MRS. JANICE SIRIMA PAKNEJAD O.D.
Optometrist
372 WASHINGTON ST
BRIGHTON, MA 02135
Suffolk County (617) 782-6650
KRISTEN BANEK PC
Optometrist
372 WASHINGTON ST
BRIGHTON, MA 02135
Suffolk County (617) 782-6650
BRIGHTON EYE ASSOCIATES, P.C.
Optometrist
372 WASHINGTON ST
BRIGHTON, MA 02135
Suffolk County (617) 782-6650

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 Kristen Banek's NPI number?

The NPI number for Kristen Banek is 1790948420. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Kristen Banek located?

Kristen Banek practices at 372 Washington St, Brighton, MA 02135. The listed phone number is (617) 782-6650.

What is Kristen Banek's specialty?

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

Is Kristen Banek enrolled in Medicare?

Yes. Kristen Banek 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 Kristen Banek accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kristen Banek 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 Kristen Banek was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.