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Active NPI 1659946093 Individual Practitioner Female Practitioner

Dr. Amanda Lee Gannon , OD

Optometrist • Beverly, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Gannon, OD is a certified Optometrist practicing in Beverly, MA. With approximately 5 years of clinical experience since graduating from New England College Of Optometry in 2021, Dr. Gannon delivers high-quality medical care to the local community at 495 CABOT ST STE 1.

Dr. Gannon is affiliated with Myeyedr Optometry Of Massachusetts P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

495 Cabot St Ste 1

Beverly, MA 019152515

Telephone 9789215000
Fax 9789215003
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Beverly, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -19.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Beverly, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gannon (5 Years) 5 Yrs
Beverly Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
43 43 $80.00 $57.68
99213 Established patient office or other outpatient visit, typically 15 minutes
22 22 $125.00 $92.30

Medical Specialties & State Licenses

CMS Verified: 2023-10-25
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 5477

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Massachusetts P C

1 Washington St, Wellesley, MA 024811706

Phone: 7812637360

Secondary Practice Locations

1 Washington St

Wellesley, MA 024811711

Phone: 7812637360

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1699765396

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 25, 2023

Registered at 495 CABOT ST STE 1, BEVERLY, MA 019152515 (Tel: 9789215000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2023

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2021

Optometrist (License #5477 in MA)

NPI Profile Active May 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2021

Registered at 1 WASHINGTON ST, WELLESLEY, MA 024811711 (Tel: 7812637360)

📍
Updated Business Mailing Address May 27, 2021

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as AMANDA GANNON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659946093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2021
Last Update: October 25, 2023
Sole Proprietor: No

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

Phone: 7038478899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.