DR. KAILENN TSAO MD
NPI 1912961335
Ophthalmology in Winchester, MA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
955 MAIN ST, SUITE 204, WINCHESTER, MA 01890(781) 729-7401(781) 729-5160 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kailenn Tsao Md NPPES

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

DR. KAILENN TSAO MD (NPI 1912961335) is an individual ophthalmology provider in Winchester, Massachusetts, licensed in Massachusetts (159572) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and is a graduate of University Of Vermont College Of Medicine (1994).

NPPES Registry Identity

NPI1912961335
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KAILENN TSAOCredential: MD
Location Address955 MAIN ST, SUITE 204Winchester, MA 01890-1961
Mailing AddressPo Box 88Winchester, MA 01890-0188 · (781) 729-7401 · Fax (781) 729-5160
Fax(781) 729-5160
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1994
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 27, 2013
NPI 1912961335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 159572
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
955 MAIN ST, Winchester, MA 01890

Other Identifiers 3

Medicaid110061298AMA
Medicare PINA29712
Medicare UPING95448MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kailenn Tsao Md 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 ID9133143043
PECOS Enrollment IDI20060118000900
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.

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.

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.
574 services360 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
507 services330 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).
47 services44 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
40 services17 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
39 services36 patients
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.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01890 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.

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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.39
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%547 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%99 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%99 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,411 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
64%538 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%94 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dentist (Pediatric Dentistry)
955 MAIN ST
WINCHESTER, MA 01890
Specialist
955 MAIN ST, SUITE G6
WINCHESTER, MA 01890
Physician Assistant (Medical)
955 MAIN ST
WINCHESTER, MA 01890
Dentist (Pediatric Dentistry)
955 MAIN ST
WINCHESTER, MA 01890
Specialist
955 MAIN ST, SUITE G2A
WINCHESTER, MA 01890
Pediatrics
955 MAIN ST, STE 103
WINCHESTER, MA 01890
Physician Assistant
955 MAIN ST
WINCHESTER, MA 01890
Ophthalmology
955 MAIN ST, STE 108
WINCHESTER, MA 01890

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 Kailenn Tsao's NPI number?

The NPI number for Kailenn Tsao is 1912961335. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Kailenn Tsao located?

Kailenn Tsao practices at 955 Main St Suite 204, Winchester, MA 01890. The listed phone number is (781) 729-7401.

What is Kailenn Tsao's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kailenn Tsao enrolled in Medicare?

Yes. Kailenn Tsao 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.

What insurance does Kailenn Tsao accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Kailenn Tsao 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 Kailenn Tsao affiliated with any hospitals?

According to CMS data, Kailenn Tsao is affiliated with Massachusetts Eye And Ear Infirmary - and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Kailenn Tsao was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.