Active NPI 1427054576 Individual Practitioner Male Practitioner

Dr. Phillip M Gendelman , MD

Ophthalmology • Burlington, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Gendelman, MD is a certified Ophthalmology practicing in Burlington, MA. With approximately 47 years of clinical experience since graduating from Yale University School Of Medicine in 1979, Dr. Gendelman delivers high-quality medical care to the local community at 172 CAMBRIDGE ST.

Dr. Gendelman is affiliated with Boston Laser Eye Institute Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include extended exam of the back part of the eye with retinal drawing, established patient complete exam of visual system, established patient problem focused 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

172 Cambridge St

Burlington, MA 018032921

Telephone 6172022020

Fax 6177343264

Associated Practice Facility / Clinic

🏢 Eye Associates Pc Facility NPI 1790789741

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Burlington, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +24.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

20 Specialists

Practicing in Burlington, MA (841 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gendelman (47 Years) 47 Yrs

Burlington Specialty Average (22.4 Years) 22.4 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
92201 Extended exam of the back part of the eye with retinal drawing	1,781	1,142	$91.13	$26.76
92014 Established patient complete exam of visual system	1,437	1,166	$390.87	$140.09
92012 Established patient problem focused exam of visual system	1,109	725	$253.00	$99.68
92083 Exam of visual field with extended testing	691	666	$267.00	$71.67
92133 Imaging of optic nerve	563	549	$135.00	$36.95
92134 Imaging of retina	236	194	$135.00	$44.90
92250 Photography of the retina	195	190	$257.14	$41.23
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	35	28	$139.00	$101.80
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$257.00	$99.31
66821 Removal of recurring cataract in lens capsule using a laser	25	23	$961.00	$369.99
92004 New patient complete exam of visual system	25	25	$432.00	$165.33
65855 Laser repair to improve eye fluid flow	15	13	$1033.00	$268.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92201 Extended exam of the back part of the eye with retinal drawing	2,069	1,259	$59.29	$27.41
92012 Established patient problem focused exam of visual system	1,553	936	$252.35	$103.51
92014 Established patient complete exam of visual system	1,397	1,110	$364.29	$144.57
92083 Exam of visual field with extended testing	820	771	$265.79	$72.94
92133 Imaging of optic nerve	730	721	$138.21	$38.42
92250 Photography of the retina	427	419	$258.90	$42.80
92134 Imaging of retina	372	278	$138.15	$46.27
99213 Established patient office or other outpatient visit, typically 15 minutes	183	134	$256.69	$101.01
92004 New patient complete exam of visual system	59	59	$429.22	$170.89
66821 Removal of recurring cataract in lens capsule using a laser	48	41	$965.98	$382.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$361.00	$142.80
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	24	20	$145.71	$104.56
65855 Laser repair to improve eye fluid flow	24	17	$1046.92	$277.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$441.38	$185.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92201 Extended exam of the back part of the eye with retinal drawing	1,846	1,247	$110.00	$27.67
92012 Established patient problem focused exam of visual system	1,617	1,045	$234.55	$103.72
92014 Established patient complete exam of visual system	981	979	$289.42	$146.69
92083 Exam of visual field with extended testing	841	784	$242.26	$73.88
92133 Imaging of optic nerve	761	756	$198.03	$38.99
92250 Photography of the retina	553	547	$330.00	$43.06
92134 Imaging of retina	405	295	$199.75	$46.95
99213 Established patient office or other outpatient visit, typically 15 minutes	223	149	$218.72	$102.97
66821 Removal of recurring cataract in lens capsule using a laser	43	39	$1200.00	$385.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$312.14	$140.57
92004 New patient complete exam of visual system	30	30	$338.00	$172.96
65855 Laser repair to improve eye fluid flow	25	15	$1200.00	$281.01
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	24	21	$300.00	$103.21
92025 Ct scan of cornea	19	15	$85.00	$41.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92201 Extended exam of the back part of the eye with retinal drawing	1,994	1,356	$110.00	$28.15
99213 Established patient office or other outpatient visit, typically 15 minutes	1,396	869	$175.00	$104.06
92012 Established patient problem focused exam of visual system	977	819	$195.00	$105.50
92083 Exam of visual field with extended testing	930	901	$242.56	$75.12
92133 Imaging of optic nerve	885	883	$197.06	$39.62
92250 Photography of the retina	674	666	$329.76	$46.04
92014 Established patient complete exam of visual system	641	640	$260.00	$147.49
92134 Imaging of retina	404	309	$200.00	$47.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	195	$235.00	$147.06
92004 New patient complete exam of visual system	32	32	$290.00	$175.03
65855 Laser repair to improve eye fluid flow	31	17	$1200.00	$286.37
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	31	26	$300.00	$106.97
92025 Ct scan of cornea	18	14	$82.64	$43.26
76514 Ultrasound scan of cornea to determine thickness	18	18	$134.00	$13.45
66821 Removal of recurring cataract in lens capsule using a laser	18	17	$1200.00	$392.22
67820 Removal of eyelashes using forceps	16	13	$142.00	$23.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92201 Extended exam of the back part of the eye with retinal drawing	1,579	1,268	$116.16	$28.42
92012 Established patient problem focused exam of visual system	1,031	674	$195.00	$102.57
92014 Established patient complete exam of visual system	940	939	$260.00	$145.62
92083 Exam of visual field with extended testing	625	620	$243.80	$74.10
92133 Imaging of optic nerve	603	603	$199.34	$39.52
99213 Established patient office or other outpatient visit, typically 15 minutes	247	169	$175.00	$85.21
92134 Imaging of retina	245	213	$198.78	$47.23
92250 Photography of the retina	122	122	$330.00	$52.92
99441 Telephone medical discussion with physician, 5-10 minutes	44	40	$46.82	$42.23
99443 Telephone medical discussion with physician, 21-30 minutes	33	27	$125.00	$123.92
99442 Telephone medical discussion with physician, 11-20 minutes	33	29	$88.48	$84.45
92025 Ct scan of cornea	24	17	$85.00	$42.84
92004 New patient complete exam of visual system	23	23	$290.00	$172.08
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	18	18	$300.00	$104.43
65855 Laser repair to improve eye fluid flow	17	12	$1200.00	$284.44
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$110.00	$31.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$235.00	$123.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	2,135	1,478	$106.24	$55.56
92012 Established patient problem focused exam of visual system	1,691	1,109	$195.00	$100.64
92083 Exam of visual field with extended testing	972	952	$243.50	$73.95
92133 Imaging of optic nerve	929	926	$199.57	$38.77
92014 Established patient complete exam of visual system	895	895	$260.00	$143.56
99213 Established patient office or other outpatient visit, typically 15 minutes	439	280	$175.00	$83.27
92134 Imaging of retina	348	302	$199.14	$46.73
92020 Examination of cornea and iris using lens device and slit lamp	78	62	$110.00	$31.10
65855 Laser repair to improve eye fluid flow	62	37	$1200.00	$280.67
92225 Examination of eye by ophthalmoscope with retinal drawing	47	47	$124.98	$58.80
92004 New patient complete exam of visual system	47	47	$290.00	$170.91
92025 Ct scan of cornea	30	21	$85.00	$43.47
92250 Photography of the retina	25	25	$270.60	$58.47
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	24	22	$300.00	$105.30
76514 Ultrasound scan of cornea to determine thickness	22	22	$134.00	$14.39
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	11	$1200.00	$343.86
67820 Removal of eyelashes using forceps	17	12	$142.00	$37.68
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$1200.00	$380.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$235.00	$110.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	2,252	1,525	$106.73	$54.24
92012 Established patient problem focused exam of visual system	1,487	1,081	$195.00	$98.77
92014 Established patient complete exam of visual system	1,127	1,125	$260.03	$141.76
92083 Exam of visual field with extended testing	1,016	989	$243.52	$73.44
92133 Imaging of optic nerve	966	962	$199.90	$39.06
99213 Established patient office or other outpatient visit, typically 15 minutes	493	283	$175.00	$80.61
92134 Imaging of retina	331	284	$198.49	$46.69
92020 Examination of cornea and iris using lens device and slit lamp	73	69	$110.00	$29.88
92004 New patient complete exam of visual system	65	65	$290.00	$169.06
92225 Examination of eye by ophthalmoscope with retinal drawing	63	63	$126.76	$57.92
92250 Photography of the retina	58	55	$281.64	$65.41
65855 Laser repair to improve eye fluid flow	50	30	$1200.00	$276.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$235.00	$118.93
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	30	15	$1200.00	$337.87
76514 Ultrasound scan of cornea to determine thickness	30	30	$134.00	$17.45
92275 Recording of retinal electrical responses to external stimuli	25	24	$294.00	$166.78
67820 Removal of eyelashes using forceps	14	11	$142.00	$44.64
66821 Removal of recurring cataract in lens capsule using a laser	13	12	$1200.00	$374.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	3,623	1,473	$60.86	$30.05
92012 Established patient problem focused exam of visual system	1,521	1,056	$195.00	$94.35
92014 Established patient complete exam of visual system	1,163	1,151	$260.00	$136.52
92083 Exam of visual field with extended testing	1,019	990	$243.28	$72.44
92133 Imaging of optic nerve	979	965	$199.69	$38.16
99213 Established patient office or other outpatient visit, typically 15 minutes	255	170	$175.00	$79.46
92134 Imaging of retina	201	182	$199.00	$45.44
92020 Examination of cornea and iris using lens device and slit lamp	139	126	$110.00	$29.35
92225 Examination of eye by ophthalmoscope with retinal drawing	121	69	$73.09	$32.52
92004 New patient complete exam of visual system	59	59	$290.00	$161.91
92250 Photography of the retina	42	40	$243.57	$74.71
65855 Laser repair to improve eye fluid flow	40	26	$1200.00	$268.34
92136 Measurement of corneal curvature and depth of eye	29	29	$180.00	$102.02
76514 Ultrasound scan of cornea to determine thickness	23	23	$134.00	$16.59
67820 Removal of eyelashes using forceps	22	19	$148.45	$55.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$235.00	$116.60
92275 Recording of retinal electrical responses to external stimuli	20	18	$300.00	$168.13
92132 Imaging of front third of eye	17	15	$194.12	$34.21
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$1200.00	$365.44

Medical Specialties & State Licenses

CMS Verified: 2025-07-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 46245

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6164552 (MA)

Commercial Insurance / Payer ID Railroad Medicare

CE5062

Hospital & Practice Group Affiliations

Boston Laser Eye Institute Pc

172 Cambridge St, Burlington, MA 018032984

Phone: 6172022020

Secondary Practice Locations

24 Webster Pl

Brookline, MA 024457937

Phone: 6172022020

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Emily Nangle , OD

Optometrist

NPI 1063865244

Doctor of Optometry

Dr. Claudia Arrigg , MD

Specialist

NPI 1093793564

Doctor of Medicine (M.D.)

Dr. Macie Finkelstein , MD

Ophthalmology

NPI 1114959640

Doctor of Medicine (M.D.)

Dr. John Lee , MD

Ophthalmology

NPI 1124237326

Doctor of Medicine (M.D.)

Dr. Reena Gupta , MD

Ophthalmology

NPI 1144587544

Doctor of Medicine (M.D.)

Vinny Keshav

Ophthalmology

NPI 1205217346

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 10, 2025

Registered at 172 CAMBRIDGE ST, BURLINGTON, MA 018032921 (Tel: 6172022020)

📍

Updated Practice Location August 23, 2024

Registered at 24 WEBSTER PL, BROOKLINE, MA 024457937 (Tel: 6172022020)

📍

Updated Business Mailing Address August 23, 2024

Registered at 24 WEBSTER PL, BROOKLINE, MA 024457937 (Tel: 6172022020)

✅

NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2017

Registered at 172 CAMBRIDGE STREET, BURLINGTON, MA 018032921 (Tel: 7812724944)

📍

Updated Business Mailing Address January 04, 2017

Registered at 172 CAMBRIDGE ST, BURLINGTON, MA 018032921 (Tel: 7812724944)

👤

Provider Name / Credentials Updated January 04, 2017

Recorded as PHILLIP GENDELMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Ophthalmology (License #46245 in MA)

🟢

Initial NPI Registration & Enumeration June 23, 2005

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: 1427054576

Entity Type:

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

Enumeration Date: June 23, 2005

Last Update: July 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24 Webster Pl

Brookline, MA 024457937

Phone: 6172022020

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.