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Active NPI 1689761561 Individual Practitioner Male Practitioner

Dr. Michael John Gousy , OD

Optometrist • West Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gousy, OD is a certified Optometrist practicing in West Springfield, MA. With approximately 38 years of clinical experience since graduating from New England College Of Optometry in 1988, Dr. Gousy delivers high-quality medical care to the local community at 120 WESTFIELD ST.

Dr. Gousy accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new 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

120 Westfield St

West Springfield, MA 010892508

Telephone 4137332318
Fax 4137324824

Medicare Profile & Education

Medical School

New England College Of Optometry

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in West Springfield, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +18.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
3 Specialists

Practicing in West Springfield, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gousy (38 Years) 38 Yrs
West Springfield Specialty Average (19.5 Years) 19.5 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
217 217 $144.88 $128.54
92004 New patient complete exam of visual system
74 74 $185.00 $152.15
92012 Established patient problem focused exam of visual system
52 52 $105.00 $91.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
46 38 $56.00 $55.30

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 3427

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0369446 (MA)
Commercial Insurance / Payer ID Connceticare
730566 (MA)
Commercial Insurance / Payer ID Aetna
2110327 (MA)
Commercial Insurance / Payer ID Bmc Health Net Plan
000000021089 (MA)
Commercial Insurance / Payer ID Cigna
102459 (MA)
Commercial Insurance / Payer ID Blue Cross Blue Sheild
W15909 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
763475 (MA)
Commercial Insurance / Payer ID Health New England
24651 (MA)
Commercial Insurance / Payer ID Harvard Pilgrim Health Pl
152198 (MA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Paul Boucher , RDO

Technician/Technologist - Optician

NPI 1437549805

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2008

Registered at 120 WESTFIELD ST, WEST SPRINGFIELD, MA 010892508 (Tel: 4137332318)

📍
Updated Business Mailing Address November 12, 2008

Registered at 120 WESTFIELD ST, WEST SPRINGFIELD, MA 010892508 (Tel: 4137332318)

👤
Provider Name / Credentials Updated November 12, 2008

Recorded as MICHAEL GOUSY, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2008

Optometrist (License #3427 in MA)

🟢
Initial NPI Registration & Enumeration October 10, 2006

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: 1689761561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: November 12, 2008
Sole Proprietor: No

Mailing Address

120 Westfield St

West Springfield, MA 010892508

Phone: 4137332318

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.