KIM MCGILLICUDDY MACIASZEK OD
NPI 1871577254
Optometrist in East Longmeadow, MA
About Kim Mcgillicuddy Maciaszek Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM MCGILLICUDDY MACIASZEK OD (NPI 1871577254) is an individual optometrist in East Longmeadow, Massachusetts, licensed in Massachusetts (3760) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 13
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
Kim Mcgillicuddy Maciaszek 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 Reassignment
Medicare enrollment records show Kim Mcgillicuddy Maciaszek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Longmeadow, MA 01028
- Reassigned Medicare billing, Massachusetts enrollment
- 112 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kim Mcgillicuddy Maciaszek's NPI number?
The NPI number for Kim Mcgillicuddy Maciaszek is 1871577254. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Kim Mcgillicuddy Maciaszek located?
Kim Mcgillicuddy Maciaszek practices at 426 N Main St, East Longmeadow, MA 01028. The listed phone number is (413) 525-3010.
What is Kim Mcgillicuddy Maciaszek's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kim Mcgillicuddy Maciaszek enrolled in Medicare?
Yes. Kim Mcgillicuddy Maciaszek 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 organization bills Medicare for Kim Mcgillicuddy Maciaszek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Mcgillicuddy Maciaszek reassigns Medicare benefits to Myeyedr Optometry Of Massachusetts P C (East Longmeadow, MA). The 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 Kim Mcgillicuddy Maciaszek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kim Mcgillicuddy Maciaszek 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 3 other insurers list Kim Mcgillicuddy Maciaszek 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 Kim Mcgillicuddy Maciaszek was last updated on September 16, 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.
# Kim Mcgillicuddy Maciaszek, OD · NPI 1871577254
Optometrist provider in East Longmeadow, Massachusetts. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1871577254 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3760 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 426 N MAIN ST, East Longmeadow, MA 01028-1850
- **Phone:** (413) 525-3010 · **Fax:** (413) 525-7667
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Myeyedr Optometry Of Massachusetts P C (NPI 1689131021, East Longmeadow, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 1992
## Record status
- **NPPES last updated:** September 16, 2024
- **Other identifiers:** Other AA2839; Other 410046213; Other 60892; and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1871577254) · Data from the CMS NPPES public registry.