Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245692433 Individual Practitioner Female Practitioner

Dr. Kanika Agarwal , MD

Ophthalmology • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kanika Agarwal, MD is a certified Ophthalmology practicing in Boston, MA. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Agarwal delivers high-quality medical care to the local community at 243 CHARLES ST.

Dr. Agarwal does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, 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

243 Charles St

Boston, MA 021143002

Telephone 6175734443
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boston, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -9.9 yrs vs City Avg
City Avg: 19.9 Yrs
State Avg: 30.8 Yrs
Regional Practice Density
339 Specialists

Practicing in Boston, MA (841 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (10 Years) 10 Yrs
Boston Specialty Average (19.9 Years) 19.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes
120 106 $276.75 $68.04
99213 Established patient office or other outpatient visit, typically 15 minutes
113 99 $291.25 $72.87
92014 Established patient complete exam of visual system
108 108 $329.68 $81.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
96 96 $412.26 $94.04
92004 New patient complete exam of visual system
89 89 $422.53 $104.97
92025 Ct scan of cornea
76 72 $94.96 $23.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
75 66 $409.49 $101.46
92136 Measurement of corneal curvature and depth of eye
75 75 $111.59 $32.60
92025 Ct scan of cornea
70 68 $82.13 $20.46
92134 Imaging of retina
61 61 $127.51 $29.76
92136 Measurement of corneal curvature and depth of eye
56 56 $104.63 $32.04
92133 Imaging of optic nerve
55 55 $115.24 $23.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
52 45 $429.71 $106.32
92134 Imaging of retina
50 47 $113.00 $26.21
92014 Established patient complete exam of visual system
46 46 $322.87 $78.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
44 44 $382.00 $86.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
41 41 $644.80 $147.90
92004 New patient complete exam of visual system
38 38 $398.26 $98.91
92083 Exam of visual field with extended testing
35 34 $128.74 $32.05
76514 Ultrasound scan of cornea to determine thickness
32 32 $34.59 $8.52
66982 Complex removal of cataract with insertion of prosthetic lens
28 23 $3218.50 $805.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $613.00 $137.16
92133 Imaging of optic nerve
22 21 $110.00 $22.55
66984 Removal of cataract with insertion of lens
20 16 $2653.00 $580.31
92083 Exam of visual field with extended testing
17 15 $114.24 $28.31
66984 Removal of cataract with insertion of lens
14 11 $2653.00 $586.57
76514 Ultrasound scan of cornea to determine thickness
13 13 $33.00 $8.20

Medical Specialties & State Licenses

CMS Verified: 2020-06-29
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 282559

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

19 Associated Practitioners
NPI 1003557331

Doctor of Medicine (M.D.)

NPI 1033798152

Doctor of Medicine (M.D.)

NPI 1063005593

Doctor of Medicine (M.D.)

NPI 1174028096

Doctor of Medicine (M.D.)

NPI 1174938120

Doctor of Medicine (M.D.)

Joshua Ong

Ophthalmology

NPI 1194461657

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 29, 2020

Registered at 243 CHARLES ST, BOSTON, MA 021143002 (Tel: 6175734443)

📍
Updated Business Mailing Address June 29, 2020

Registered at 243 CHARLES ST, BOSTON, MA 021143002 (Tel: 6175734443)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Ophthalmology (License #282559 in MA)

NPI Profile Active November 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2017

Registered at 600 GRESHAM DR, NORFOLK, VA 235071904 (Tel: 7573882473)

📍
Updated Business Mailing Address November 11, 2017

Registered at 600 GRESHAM DR, NORFOLK, VA 235071904 (Tel: (757) 388-2473)

👤
Provider Name / Credentials Updated November 11, 2017

Recorded as KANIKA AGARWAL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2016

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 3109681674)

📍
Updated Business Mailing Address March 25, 2016

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 3109681674)

👤
Provider Name / Credentials Updated March 25, 2016

Recorded as KANIKA AGARWAL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2016

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: 1245692433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2016
Last Update: June 29, 2020
Sole Proprietor: No

Mailing Address

243 Charles St

Boston, MA 021143002

Phone: 6175734443

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.