DR. MARY TERESA BOTELHO OD
NPI 1861913774
Optometrist in New York, NY
About Dr. Mary Teresa Botelho Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY TERESA BOTELHO OD (NPI 1861913774) is an individual optometrist in New York, New York, licensed in New York (TUV008583) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of State University Of New York - State College Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
Dr. Mary Teresa Botelho Od 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.
Medicare Billing Reassignments
5Medicare enrollment records show Mary Botelho reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 616 clinicians in this Medicare group
New York, NY 10036
- Reassigned Medicare billing, New York enrollment
- 216 clinicians in this Medicare group
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
- 99 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYBellevue Hospital Center
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Mary Botelho's NPI number?
The NPI number for Mary Botelho is 1861913774. It was assigned to this individual provider in the NPPES registry on June 30, 2017.
Where is Mary Botelho located?
Mary Botelho practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-1394.
What is Mary Botelho's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mary Botelho enrolled in Medicare?
Yes. Mary Botelho 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 Mary Botelho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Botelho reassigns Medicare benefits to 5 organizations: Nyu Langone Hospitals (New York, NY), State Of New York Comptrollers Office (New York, NY), Be Well Primary Health Care Center, LLC (Brooklyn, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and New York University (Boynton Beach, FL). 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 Mary Botelho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Botelho accept?
Health plans from 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 Mary Botelho 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 Mary Botelho affiliated with any hospitals?
According to CMS data, Mary Botelho is affiliated with Staten Island University Hospital and Bellevue Hospital Center.
When was this NPI record last updated?
The NPPES record for Mary Botelho was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Mary Teresa Botelho, OD · NPI 1861913774
Optometrist provider in New York, New York. Individual provider, active in the CMS NPPES registry since June 30, 2017.
## Identity
- **NPI:** 1861913774 (Entity type: Individual)
- **Enumerated:** June 30, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV008583 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 462 1ST AVE, New York, NY 10016-9196
- **Phone:** (212) 562-1394
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Nyu Langone Hospitals (NPI 1790975944, New York, NY); State Of New York Comptrollers Office (NPI 1407829856, New York, NY); Be Well Primary Health Care Center, LLC (NPI 1083623409, Brooklyn, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2017
## Record status
- **NPPES last updated:** August 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861913774) · Data from the CMS NPPES public registry.