DR. AMRIT POKHAREL OD
NPI 1427662972
Optometrist in Framingham, MA

NPI Status: Active since September 02, 2020

Contact Information

100 CROSSING BLVD STE 300
FRAMINGHAM, MA
ZIP 01702
Phone: (888) 964-6681
Fax: (888) 662-0859

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  • Individual
  • Male
  • Years of Experience 6
  • Optometrist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AMRIT POKHAREL

This page provides the complete NPI Profile along with additional information for Amrit Pokharel, a provider established in Framingham, Massachusetts with a medical specialization in Optometrist and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1427662972 assigned on September 2020. The practitioner's primary taxonomy code is 152W00000X with license number 5449 (MA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1427662972
Provider Name
DR. AMRIT POKHAREL OD
Gender
Male
Entity Type
Individual
Location Address
100 CROSSING BLVD STE 300 FRAMINGHAM, MA 01702
Location Phone
(888) 964-6681
Location Fax
(888) 662-0859
Mailing Address
18 ASHLAND WOODS LN ASHLAND, MA 01721
Mailing Phone
(571) 457-1971
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
09-02-2020
Last Update Date
08-05-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
5449
License State
MA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Amrit Pokharel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Amrit Pokharel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 345647871

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210924002112, I20240923002455

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient complete exam of visual system

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

This service was performed 488 times for 485 patients

Established patient problem focused exam of visual system

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

This service was performed 277 times for 253 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 460 times for 378 patients

New patient complete exam of visual system

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

This service was performed 418 times for 418 patients

New patient problem focused exam of visual system

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

This service was performed 82 times for 82 patients

Photography of content of eyes

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

This service was performed 11 times for 11 patients

Photography of the retina

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

This service was performed 347 times for 337 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $19.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 01702 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427662972
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471264914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 2 + 6 + 4 + 9 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1427662972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972024735 RICHA PIYUSH PATEL DPM
Individual
Podiatrist100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-9981
1609596113 HAILEY LEAVITT CNP
Individual
Nurse Practitioner100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1770209827 KRISTIAN THOMAS
Individual
Nurse Practitioner100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1770079758 BELINDA JEYARAJ DPM
Individual
Podiatrist (Foot & Ankle Surgery)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(857) 255-0486
1699488114MISS WALINDA GEDDIS CNP
Individual
Nurse Practitioner (Family)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1013661701 ANITA SOK NP
Individual
Nurse Practitioner (Family)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(857) 255-0399
1346255916DR. IRENE LOZOV DDS
Individual
Dentist100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(617) 964-6681
1437873411 ALBERTA A.B ABBUAH PMHNP
Individual
Nurse Practitioner100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1669166948 SAMANTHA CHUNG AU.D.
Individual
Audiologist100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1922876663 ARIELLE TUFTS NP
Individual
Nurse Practitioner (Family)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1053615674 JOANNE SYKES LICSW
Individual
Counselor (Mental Health)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1356106793 JESSICA PETRUZZO
Individual
Nurse Practitioner (Family)100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681
1568281731DR. RUTH ANTWI DNP, AGPNNP-BC
Individual
Nurse Practitioner100 CROSSING BLVD STE 300
FRAMINGHAM, MA 01702
(888) 964-6681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427662972, enumerated in the NPI registry as an "individual" on September 02, 2020

The provider is located at 100 Crossing Blvd Ste 300 Framingham, Ma 01702 and the phone number is (888) 964-6681

The provider's speciality is Optometrist with taxonomy code 152W00000X

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient complete exam of visual system, Established patient problem focused exam of visual system, Follow-up nursing facility visit per day, typically 15 minutes, New patient complete exam of visual system, New patient problem focused exam of visual system, Photography of content of eyes and Photography of the retina.

This NPI record was last updated on September 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.