Active NPI 1740684844 Individual Practitioner Female Practitioner

Dr. Nisha P. Patel , OD

Optometrist • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nisha Patel, OD is a certified Optometrist practicing in Boston, MA. With approximately 12 years of clinical experience since graduating from New England College Of Optometry in 2014, Dr. Patel delivers high-quality medical care to the local community at 1601 WASHINGTON ST.

Dr. Patel maintains professional affiliations with Dothouse Health Inc., Internal Medical Associates-Ebnhc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 Washington St

Boston, MA 021181951

Telephone 6174252022

Associated Practice Facility / Clinic

🏢 South End Community Health Center Inc Facility NPI 1619927233

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boston, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -4.2 yrs vs City Avg

City Avg: 16.2 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

220 Specialists

Practicing in Boston, MA (1567 Statewide)

Telehealth Adoption Rate

0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (12 Years) 12 Yrs

Boston Specialty Average (16.2 Years) 16.2 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
92014 Established patient complete exam of visual system	37	37	$100.00	$79.74
92012 Established patient problem focused exam of visual system	29	20	$70.00	$53.08
92004 New patient complete exam of visual system	13	13	$140.00	$99.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	36	36	$105.56	$82.00
92012 Established patient problem focused exam of visual system	35	23	$70.00	$54.49
92004 New patient complete exam of visual system	29	29	$140.00	$101.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	29	29	$100.00	$83.72
92004 New patient complete exam of visual system	19	19	$140.00	$103.66
92012 Established patient problem focused exam of visual system	16	12	$70.00	$55.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	52	52	$100.00	$85.35
92014 Established patient complete exam of visual system	43	43	$221.00	$146.21
92012 Established patient problem focused exam of visual system	15	12	$70.00	$56.68
92004 New patient complete exam of visual system	11	11	$110.00	$105.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	152	152	$221.00	$144.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	68	$300.00	$121.73
92004 New patient complete exam of visual system	65	65	$264.00	$171.33
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$202.00	$84.59
92012 Established patient problem focused exam of visual system	19	19	$153.00	$100.85
92133 Imaging of optic nerve	12	11	$129.25	$38.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	167	167	$221.00	$141.29
92004 New patient complete exam of visual system	123	123	$264.00	$165.86
92012 Established patient problem focused exam of visual system	74	73	$153.00	$98.36
92002 New patient problem focused exam of visual system	43	43	$146.00	$93.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$297.00	$119.37
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$202.00	$82.03
92133 Imaging of optic nerve	17	17	$141.00	$38.71
92083 Exam of visual field with extended testing	15	14	$261.00	$71.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	343	343	$341.49	$140.30
92012 Established patient problem focused exam of visual system	174	160	$257.47	$98.46
92004 New patient complete exam of visual system	88	88	$340.84	$166.68
92134 Imaging of retina	42	41	$158.48	$46.91
92133 Imaging of optic nerve	30	30	$152.60	$41.85
92002 New patient problem focused exam of visual system	17	17	$181.00	$89.40
92083 Exam of visual field with extended testing	16	16	$274.75	$73.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$271.00	$117.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	362	361	$365.00	$134.58
92012 Established patient problem focused exam of visual system	284	240	$275.00	$93.63
92004 New patient complete exam of visual system	48	48	$425.00	$162.65
92133 Imaging of optic nerve	47	46	$161.00	$41.20
92134 Imaging of retina	31	28	$161.00	$42.69
92083 Exam of visual field with extended testing	22	21	$290.00	$72.04
92002 New patient problem focused exam of visual system	11	11	$265.00	$89.69

Medical Specialties & State Licenses

CMS Verified: 2025-03-18

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA OPT5054

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.

Hospital & Practice Group Affiliations

Dothouse Health Inc.

1353 Dorchester Ave, Dorchester, MA 021222932

Phone: 6172883230

Internal Medical Associates-Ebnhc

10 Gove St, East Boston, MA 021281920

Phone: 6175695800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Nicaury Suazo Ortiz , RN

Registered Nurse

NPI 1003396144

Registered Nurse

Chelsey Cutting

Social Worker

NPI 1013266915

Kayla Flynn , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013720804

Certified Nurse Practitioner

Angela Burgess , RN

Registered Nurse - Administrator

NPI 1023166584

Registered Nurse

Sari Kalin , MS, RD, LDN

Nutritionist

NPI 1023256088

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

Milagros Avalo , RN

Registered Nurse

NPI 1023584984

Registered Nurse

Career & Practice History Timeline

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

15 Historical Events

👤

Provider Name / Credentials Updated March 18, 2025

Recorded as NISHA PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2025

Optometrist (License #OPT5054 in MA)

📍

Updated Practice Location August 24, 2021

Registered at 1601 WASHINGTON ST, BOSTON, MA 021181951 (Tel: 6174252022)

📍

Updated Business Mailing Address August 24, 2021

Registered at 10 GOVE ST, EAST BOSTON, MA 021281920 (Tel: 6175695800)

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2018

Registered at 50 STANIFORD ST STE 600, BOSTON, MA 021142539 (Tel: 6173674800)

📍

Updated Business Mailing Address January 26, 2018

Registered at 50 STANIFORD ST STE 600, BOSTON, MA 021142539 (Tel: 6173674800)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as NISHA GURALNICK, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Optometrist (License #5054 in MA)

✅

NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2014

Registered at 19 DUNSTER ST, HARVARD SQUARE EYE CARE, CAMBRIDGE, MA 021385002 (Tel: 6173545590)

📍

Updated Business Mailing Address October 17, 2014

Registered at 55 PORTER RD, CAMBRIDGE, MA 021402109 (Tel: 8134514353)

👤

Provider Name / Credentials Updated October 17, 2014

Recorded as NISHA PATEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Optometrist (License #5054 in MA)

🟢

Initial NPI Registration & Enumeration October 17, 2014

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: 1740684844

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2014

Last Update: March 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Gove St

East Boston, MA 021281920

Phone: 6175695800

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.