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JACKY KIN WAI KONG O.D
NPI 1851556021
Optometrist in Boston, MA

Active since July 27, 2008PECOS EnrolledAccepts Medicare Assignment
940 COMMONWEALTH AVE, BOSTON, BOSTON, MA 02215(617) 262-2020 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacky Kin Wai Kong O.d NPPES

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

JACKY KIN WAI KONG O.D (NPI 1851556021) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (4689) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of New England College Of Optometry (2008).

NPPES Registry Identity

NPI1851556021
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACKY KIN WAI KONGCredential: O.D
Location Address940 COMMONWEALTH AVE, BOSTONBoston, MA 02215-1203
Mailing Address1125 Commonwealth Ave Apt 22Allston, MA 02134-3207 · (617) 818-0476
Phone(617) 262-2020
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2008
Enumeration DateJuly 27, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1851556021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 4689
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.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4689 (MA)
940 COMMONWEALTH AVE, Boston, MA 02215
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacky Kin Wai Kong 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 ID1658425467
PECOS Enrollment IDI20090813000198
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

4

Medicare enrollment records show Jacky Kong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Corporation
1.1 mi
Children
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1710087127 (617) 355-6000
Cambridge Eye Group Inc
3.0 mi
Optometrist
603 CONCORD AVE, SUITE B
Cambridge, MA 02138
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1235688557 (617) 818-0476
Internal Medical Associates-Ebnhc
4.4 mi
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
NPI 1558481879 (617) 569-5800
Neighborhealth Corporation
4.4 mi
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 clinicians in this Medicare group
NPI 1316994411 (617) 569-5800

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 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.

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.
28 services28 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.
22 services18 patients
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.
21 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.
20 services15 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
19 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Children's Hospital

Childrens · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number223302
Location300 Longwood AvenueBoston, MA 02115 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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.

MENG MENG XU OD
Optometrist
940 COMMONWEALTH AVE, SUITE 2
BOSTON, MA 02215
Suffolk County (617) 587-5511
DR. ROGER J WILSON O.D.
Optometrist
940 COMMONWEALTH AVE, SUITE 2
BOSTON, MA 02215
Suffolk County (617) 587-5511
DR. GRACE ELIZABETH LYTLE O.D.
Optometrist (Corneal and Contact Management)
940 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Suffolk County (617) 417-2160

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 Jacky Kong's NPI number?

The NPI number for Jacky Kong is 1851556021. It was assigned to this individual provider in the NPPES registry on July 27, 2008.

Where is Jacky Kong located?

Jacky Kong practices at 940 Commonwealth Ave Boston, Boston, MA 02215. The listed phone number is (617) 262-2020.

What is Jacky Kong's specialty?

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

Is Jacky Kong enrolled in Medicare?

Yes. Jacky Kong 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.

Which organizations bill Medicare for Jacky Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacky Kong reassigns Medicare benefits to 4 organizations: Children's Hospital Corporation (Boston, MA), Cambridge Eye Group Inc (Cambridge, MA), Internal Medical Associates-Ebnhc (East Boston, MA) and Neighborhealth Corporation (East Boston, 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 Jacky Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacky Kong accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Jacky Kong 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.

Is Jacky Kong affiliated with any hospitals?

According to CMS data, Jacky Kong is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Jacky Kong was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.