SANTWANA PRASAD O.D.
NPI 1972593853
Optometrist - Corneal and Contact Management in Springfield, MA
About Santwana Prasad O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTWANA PRASAD O.D. (NPI 1972593853) is an individual corneal and contact management provider in Springfield, Massachusetts, licensed in Massachusetts (4370) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
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
Santwana Prasad O.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.
Medicare Billing Reassignments
2Medicare enrollment records show Santwana Prasad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willingboro, NJ 08046
- Reassigned Medicare billing, New Jersey enrollment
- 15 clinicians in this Medicare group
Medford, NJ 08055
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Carl F Hyder MD PC
- 11 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
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 Santwana Prasad's NPI number?
The NPI number for Santwana Prasad is 1972593853. It was assigned to this individual provider in the NPPES registry on October 24, 2005.
Where is Santwana Prasad located?
Santwana Prasad practices at 300 Stafford St Suite 212, Springfield, MA 01104. The listed phone number is (413) 739-7367.
What is Santwana Prasad's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.
Is Santwana Prasad enrolled in Medicare?
Yes. Santwana Prasad 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 Santwana Prasad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santwana Prasad reassigns Medicare benefits to 2 organizations: Burlington County Eye Physicians II (Willingboro, NJ) and Eyecare Physicians & Surgeons Of Nj (Medford, NJ). 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 Santwana Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Santwana Prasad 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 Oscar Health and 7 other insurers list Santwana Prasad 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 Santwana Prasad was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.