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Deactivated NPI 1669741104 Deactivated / Inactive NPI Male Practitioner

Dr. Michael T Andrade , OD

Optometrist • Dartmouth, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Andrade has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2011
NPI Deactivation Date June 18, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Andrade, OD was a registered Optometrist practicing in Dartmouth, MA. Throughout an active medical career spanning 10 years, Dr. Andrade provided care at the practice location at 382 STATE RD until profile deactivation on 2021-06-18.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

382 State Rd

Dartmouth, MA 027474302

Telephone 5087170425
Fax 5089923239
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dartmouth, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Dartmouth, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
98 98 $260.00 $142.02
92004 New patient complete exam of visual system
58 58 $275.00 $169.14
99213 Established patient office or other outpatient visit, typically 15 minutes
24 24 $230.00 $82.23
92083 Exam of visual field with extended testing
14 14 $200.00 $73.08
92134 Imaging of retina
13 12 $210.00 $46.15
92133 Imaging of optic nerve
11 11 $210.00 $41.82
92250 Photography of the retina
11 11 $139.00 $57.67

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 2792

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Edna Chiu

Optometrist

NPI 1073999751
Kellie Mcmahon

Optometrist

NPI 1114303625
NPI 1336951029

Doctor of Optometry

NPI 1386157576

Doctor of Optometry

NPI 1447772140

Doctor of Optometry

NPI 1619232246

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2021

Record deactivated on June 18, 2021

NPI Profile Active December 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2011

Registered at 382 STATE RD, DARTMOUTH, MA 027474302 (Tel: 5087170425)

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Updated Business Mailing Address December 28, 2011

Registered at 382 STATE RD, DARTMOUTH, MA 027474302 (Tel: 5087170425)

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Provider Name / Credentials Updated December 28, 2011

Recorded as MICHAEL ANDRADE, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2011

Optometrist (License #2792 in MA)

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Initial NPI Registration & Enumeration December 28, 2011

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: 1669741104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2011
Last Update: December 28, 2011
Deactivation Date: June 18, 2021

Mailing Address

382 State Rd

Dartmouth, MA 027474302

Phone: 5087170425

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.