Active NPI 1093854325 Individual Practitioner Male Practitioner

Dr. Kevin E Houston , OD

Optometrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Houston, OD is a certified Optometrist practicing in Worcester, MA. With approximately 23 years of clinical experience since graduating from Indiana University - School Of Optometry in 2003, Dr. Houston delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Houston is affiliated with Family Eye Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include exam of visual field with extended testing, exam to measure eye deviation and range of motion, 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

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342527

Fax 7744423687

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +1.3 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

60 Specialists

Practicing in Worcester, MA (1567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Houston (23 Years) 23 Yrs

Worcester Specialty Average (21.7 Years) 21.7 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
92083 Exam of visual field with extended testing	36	34	$155.00	$26.62
92060 Exam to measure eye deviation and range of motion	17	13	$160.00	$36.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$547.00	$132.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	74	74	$399.42	$104.80
92060 Exam to measure eye deviation and range of motion	44	44	$150.34	$39.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	36	$145.38	$39.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	32	$159.03	$40.34
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$269.50	$70.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$546.33	$142.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$284.33	$73.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$397.56	$106.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$584.14	$158.11
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$227.14	$52.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	64	$160.00	$39.83
99221 Initial hospital inpatient care per day, typically 30 minutes	61	61	$410.64	$106.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	46	$115.67	$39.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	32	$293.13	$75.40
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$217.74	$73.61
92060 Exam to measure eye deviation and range of motion	23	23	$158.91	$40.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$531.71	$148.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$340.50	$108.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$702.00	$201.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$315.13	$91.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$477.17	$160.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	72	72	$407.92	$109.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	31	$291.97	$77.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$102.81	$28.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	24	$158.00	$42.43
92002 New patient problem focused exam of visual system	21	21	$194.76	$53.18
92012 Established patient problem focused exam of visual system	17	17	$214.47	$58.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$446.25	$123.07
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$205.43	$56.81
92285 Photography of content of eyes	12	12	$19.75	$3.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92002 New patient problem focused exam of visual system	43	43	$247.72	$52.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$119.09	$27.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	29	$212.55	$78.38
92012 Established patient problem focused exam of visual system	29	27	$266.14	$57.90
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$284.29	$109.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$630.86	$140.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	20	$131.10	$42.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$310.77	$85.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$352.50	$111.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	105	105	$263.57	$107.06
92012 Established patient problem focused exam of visual system	47	42	$270.00	$57.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	27	$125.00	$26.90
92002 New patient problem focused exam of visual system	41	41	$260.00	$52.21
92060 Exam to measure eye deviation and range of motion	25	25	$110.40	$41.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$420.00	$117.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$353.95	$144.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$310.00	$84.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$340.00	$111.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$210.00	$52.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$582.27	$139.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$690.91	$182.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	84	84	$260.00	$103.10
92002 New patient problem focused exam of visual system	52	52	$222.50	$49.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$350.00	$140.06
92012 Established patient problem focused exam of visual system	41	39	$255.85	$56.09
92060 Exam to measure eye deviation and range of motion	41	40	$110.00	$40.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$117.81	$26.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$373.46	$115.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$282.29	$79.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$439.64	$134.48
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$197.14	$53.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$110.00	$40.25
92250 Photography of the retina	11	11	$75.00	$23.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$292.27	$107.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$527.27	$170.01

Medical Specialties & State Licenses

CMS Verified: 2023-01-13

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA 4864

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IN 18003242

Optometrist

NUCC Taxonomy Code: 152W00000X

State License GA 002153

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License MA 4864

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

283816526A (IN)

Hospital & Practice Group Affiliations

Family Eye Care Inc

177 Main St, Spencer, MA 015621711

Phone: 5088852219

Practice Associates & Co-Workers

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

40 Associated Practitioners

Mary Rucho , NP

Nurse Practitioner

NPI 1023102910

Nurse Practitioner

Dr. Hena Waseem , MD

Psychiatry & Neurology - Neurology

NPI 1023437340

Doctor of Medicine (M.D.)

Dr. Wissam Deeb , MD

Psychiatry & Neurology - Neurology

NPI 1053608182

Doctor of Medicine (M.D.)

Thomas Ford

Psychiatry & Neurology - Neurology

NPI 1083118574

Linda Paul , NP

Nurse Practitioner

NPI 1114070497

Nurse Practitioner

Dr. Pegah Afra , MD

Psychiatry & Neurology - Neurology

NPI 1144376831

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 13, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342527)

📍

Updated Business Mailing Address January 13, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2023

Optometrist (License #18003242 in IN)

✅

NPI Profile Active June 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2013

Registered at 243 CHARLES ST, BOSTON, MA 021143002 (Tel: 6175237900)

📍

Updated Business Mailing Address June 11, 2013

Registered at 20 STANIFORD ST, PELI LAB, BOSTON, MA 021142508 (Tel: 6179122525)

👤

Provider Name / Credentials Updated June 11, 2013

Recorded as KEVIN HOUSTON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2013

Optometrist (License #002153 in GA)

🟢

Initial NPI Registration & Enumeration February 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kevin Houston. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093854325

Entity Type:

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

Enumeration Date: February 05, 2007

Last Update: January 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.