1. Home
  2. Directory
  3. Massachusetts
  4. Lexington
  5. Optometrist
  6. NPI Profile

DR. KRISTIN STANLEY RULLO OD
NPI 1962666511
Optometrist in Lexington, MA

Active since July 14, 2008PECOS Enrolled
21 WORTHEN ROAD, LEXINGTON, MA 02421(781) 862-1828(781) 863-9416 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kristin Stanley Rullo Od NPPES

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

DR. KRISTIN STANLEY RULLO OD (NPI 1962666511) is an individual optometrist in Lexington, Massachusetts, licensed in Massachusetts (4662) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962666511
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KRISTIN STANLEY RULLOCredential: OD
Location Address21 WORTHEN ROADLexington, MA 02421
Mailing Address21 Worthen RdLexington, MA 02421-4835 · (781) 862-1828 · Fax (781) 863-9416
Phone(781) 862-1828
Fax(781) 863-9416
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 14, 2008
Last NPPES UpdateAugust 5, 2016
✔ NPI 1962666511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 4662
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
21 WORTHEN ROAD, Lexington, MA 02421
Open in Google Maps ↗

Other Identifiers 3

Medicaid0728489MA
Medicare PIN675901MA
Medicare PIN675902MA

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 (PECOS)

Dr. Kristin Stanley Rullo Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476620352
PECOS Enrollment IDI20080918000112
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 Kristin Rullo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Eye Associates - Bid
Same address
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1801204714 (781) 862-1620
Lexington Eye Associates, Inc
Same address
Ophthalmology
21 WORTHEN RD
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 clinicians in this Medicare group
NPI 1467502757 (781) 862-1620

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 3

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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services35 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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.

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 Kristin Rullo's NPI number?

The NPI number for Kristin Rullo is 1962666511. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Kristin Rullo located?

Kristin Rullo practices at 21 Worthen Road, Lexington, MA 02421. The listed phone number is (781) 862-1828.

What is Kristin Rullo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kristin Rullo enrolled in Medicare?

Yes. Kristin Rullo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Rullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Rullo reassigns Medicare benefits to 2 organizations: Lexington Eye Associates - Bid (Lexington, MA) and Lexington Eye Associates, Inc (Lexington, 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 Kristin Rullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Rullo 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 Kristin Rullo 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 Kristin Rullo was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.