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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANTWANA PRASAD O.D.
NPI 1972593853
Optometrist - Corneal and Contact Management in Springfield, MA

Active since October 24, 2005PECOS Enrolled
78.12/100
CMS Quality Rating
300 STAFFORD ST, SUITE 212, SPRINGFIELD, MA 01104(413) 739-7367 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1972593853
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameSANTWANA PRASADCredential: O.D.
Location Address300 STAFFORD ST, SUITE 212Springfield, MA 01104-3581
Mailing Address300 Stafford St, Suite 212Springfield, MA 01104-3581 · (413) 739-7367
Phone(413) 739-7367
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1994
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972593853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in MA · 4370
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
300 STAFFORD ST, Springfield, MA 01104
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Other Identifiers 7

Other33797MA · Health New England Id No.
Other3875267MA · Aetna/ushealthcare
Other467469MA · Tufts Id No.
Other0368977MA · Cigna Healthcare Id No.
OtherW16421MA · Blue Shield Of Mass Id No
Other043700CT · Connecticare Id No.
OtherW16421CT · Ct.blue Shield Id No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

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.

PECOS PAC ID5597662601
PECOS Enrollment IDI20050804000930
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 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.

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.
86 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
19 services17 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.
16 services14 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).
14 services11 patients

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.

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.

78.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost27.08

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.

ASHLEY MARIE GRAVELINE FNP-BC
Nurse Practitioner (Family)
300 STAFFORD ST
SPRINGFIELD, MA 01104
Hampden County (413) 748-7095
MARY E KING M.D.
Family Medicine (Adult Medicine)
300 STAFFORD ST, STE 300
SPRINGFIELD, MA 01104
Hampden County (413) 736-1569
ERICA GILBERT
Social Worker
300 STAFFORD ST
SPRINGFIELD, MA 01104
Hampden County (413) 748-9023
KEVIN E SCHMIDT M.D.
Family Medicine (Adult Medicine)
300 STAFFORD ST, STE 300
SPRINGFIELD, MA 01104
Hampden County (413) 736-1569
LYNN BUJNEVICIE LAROCHELLE PAC
Physician Assistant (Medical)
300 STAFFORD ST, #154
SPRINGFIELD, MA 01104
Hampden County (413) 781-5735
DEMOSTHENES D. DASCO, MD, PC
Neurological Surgery
300 STAFFORD ST, SUITE 262
SPRINGFIELD, MA 01104
Hampden County (413) 734-7758
DR. SUBRATA RAY MD
Internal Medicine (Cardiovascular Disease)
300 STAFFORD ST, SUITE 300
SPRINGFIELD, MA 01104
Hampden County (413) 734-7758
SLEEPCURES LLC
Clinic/Center (Sleep Disorder Diagnostic)
300 STAFFORD ST, STE 102
SPRINGFIELD, MA 01104
Hampden County (413) 452-0477

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.

What insurance does Santwana Prasad accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan 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 32 days 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.