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CAROLINE C MARHEFKA OD
NPI 1912694811
Optometrist - Pediatrics in Boston, MA

Active since April 20, 2023PECOS EnrolledAccepts Medicare Assignment
424 BEACON ST, BOSTON, MA 02115(617) 266-2030 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Caroline C Marhefka Od NPPES

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

CAROLINE C MARHEFKA OD (NPI 1912694811) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (OPT5615) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912694811
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameCAROLINE C MARHEFKACredential: OD
Location Address424 BEACON STBoston, MA 02115-1129
Mailing Address424 Beacon StBoston, MA 02115-1129
Phone(617) 266-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 20, 2023
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1912694811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in MA · OPT5615
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
424 BEACON ST, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

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 Montana 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

Caroline C Marhefka 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.

PECOS PAC ID1355796657
PECOS Enrollment IDI20231005003066
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

2

Medicare enrollment records show Caroline Marhefka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Hospital Ophthalmology Foundation Inc
1.4 mi
Ophthalmology
300 LONGWOOD AVENUE, FEGAN 4
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 71 clinicians in this Medicare group
NPI 1770679045 (617) 355-6401
New England Eye Institute Inc.
1.6 mi
Optometrist
930 COMMONWEALTH AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
NPI 1487607388 (617) 262-2020

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 02115 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 9

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

BOSTON TELEHEALTH INC.
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 834-3245
STEPHANIE IGHAYERE AIGBE OD
Student in an Organized Health Care Education/Training Program
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 971-6706
ASHLEE GOULD
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (240) 475-5404
PURVA ATREAY OD
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 266-2030
LIXIN ZHANG OD
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 266-2030
SARAH WILLIAMS
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 823-8104
ANH V BUI OD
Optometrist (Pediatrics)
424 BEACON ST
BOSTON, MA 02115
Suffolk County (617) 587-5545
DR. ELENA Z BIFFI O.D., M.SC, F.A.A.O.
Optometrist
424 BEACON ST
BOSTON, MA 02115
Suffolk County (781) 588-2137

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 Caroline Marhefka's NPI number?

The NPI number for Caroline Marhefka is 1912694811. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Caroline Marhefka located?

Caroline Marhefka practices at 424 Beacon St, Boston, MA 02115. The listed phone number is (617) 266-2030.

What is Caroline Marhefka's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Caroline Marhefka enrolled in Medicare?

Yes. Caroline Marhefka 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 Caroline Marhefka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Marhefka reassigns Medicare benefits to 2 organizations: Childrens Hospital Ophthalmology Foundation Inc (Boston, MA) and New England Eye Institute Inc. (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 Caroline Marhefka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Marhefka 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 and 1 other insurer list Caroline Marhefka 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 Caroline Marhefka was last updated on August 6, 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.