1. Home
  2. Directory
  3. Massachusetts
  4. Andover
  5. Ophthalmology
  6. NPI Profile

PRACHI DUA M.D.
NPI 1922341247
Ophthalmology - Cornea and External Diseases Specialist in Andover, MA

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
138 HAVERHILL ST STE 104, ANDOVER, MA 01810(978) 475-0705 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Oct 8, 2018 (2 updates tracked since 2018).

About Prachi Dua M.d. NPPES

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

PRACHI DUA M.D. (NPI 1922341247) is an individual cornea and external diseases specialist in Andover, Massachusetts, licensed in Massachusetts (1022308) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922341247
Entity TypeIndividualFemale
Primary Taxonomy207WX0120X
Provider Legal NamePRACHI DUACredential: M.D.
Location Address138 HAVERHILL ST STE 104Andover, MA 01810-1584
Mailing Address148 Marlborough St Apt 3fBoston, MA 02116-1926 · (516) 946-4348
Phone(978) 475-0705
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1922341247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
Licenses✔ Licensed in MA · 1022308✔ Licensed in NY · 283047
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
138 HAVERHILL ST STE 104, Andover, MA 01810
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1210 E 64th StNew York, NY 10065 · Phone (212) 702-7611
Location 2600 Northern Blvd Ste 214Great Neck, NY 11021-5200 · Phone (516) 470-2020

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, Providence Health Plan 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

Prachi Dua M.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 ID7416292537
PECOS Enrollment IDI20250619002330
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 Prachi Dua reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Andover Eye Associates, Inc
Same address
Ophthalmology
138 HAVERHILL ST, SUITE 104
Andover, MA 01810
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 clinicians in this Medicare group
NPI 1588678551 (978) 475-0705
North Shore-Lij Medical PC
186 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 12

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 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.
483 services263 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.
237 services221 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.
121 services116 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
86 services41 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.
86 services86 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).
60 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01810 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. JENNIFER VELASCO BADIOLA O.D.
Optometrist
138 HAVERHILL ST STE 104
ANDOVER, MA 01810
Essex County (978) 475-0705

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 Prachi Dua's NPI number?

The NPI number for Prachi Dua is 1922341247. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Prachi Dua located?

Prachi Dua practices at 138 Haverhill St Ste 104, Andover, MA 01810. The listed phone number is (978) 475-0705.

What is Prachi Dua's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Prachi Dua enrolled in Medicare?

Yes. Prachi Dua 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 Prachi Dua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Dua reassigns Medicare benefits to 2 organizations: Andover Eye Associates, Inc (Andover, MA) and North Shore-Lij Medical PC (Great Neck, NY). 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 Prachi Dua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Dua accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Providence Health Plan and Taro Health list Prachi Dua 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 Prachi Dua was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.