YU SU OD
NPI 1851554430
Optometrist in West Roxbury, MA

Active since July 03, 2008PECOS Enrolled
214 WREN ST, WEST ROXBURY, MA 02132(781) 475-6222 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yu Su Od NPPES

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

YU SU OD (NPI 1851554430) is an individual optometrist in West Roxbury, Massachusetts, licensed in Massachusetts (4793) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851554430
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameYU SUCredential: OD
Location Address214 WREN STWest Roxbury, MA 02132-2716
Mailing Address214 Wren StWest Roxbury, MA 02132-2716 · (617) 783-0500
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateMay 25, 2016
✔ NPI 1851554430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MA · 4793✔ Licensed in PA · OEG002087
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.
214 WREN ST, West Roxbury, MA 02132

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yu Su Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Yu Su reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
Optometrist
930 COMMONWEALTH AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
Optometrist
382 STATE RD
N Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group

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

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.

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.
52 services52 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.
43 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02132 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.

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 Yu Su's NPI number?

The NPI number for Yu Su is 1851554430. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Yu Su located?

Yu Su practices at 214 Wren St, West Roxbury, MA 02132. The listed phone number is (781) 475-6222.

What is Yu Su's specialty?

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

Is Yu Su enrolled in Medicare?

Yes. Yu Su is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yu Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yu Su reassigns Medicare benefits to 3 organizations: Beth Israel Deaconess Medical Center, Inc. (Boston, MA), New England Eye Institute Inc. (Boston, MA) and John Magalhaes And Associates, Inc. (N Dartmouth, MA). 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 Yu Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yu Su accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Yu Su 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 Yu Su was last updated on May 25, 2016. 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.