MARK KUPERWASER (M.D.) – Ophthalmology Physician, NPI 1083790851
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
801 OPHTHALMOLOGY in MA
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Provider Addresses for MARK KUPERWASER (M.D.)
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Longwood, Longwood Medical and Academic Area, Boston, Suffolk County, Massachusetts, 02215, United States
CC5
BOSTON, MA 022155400
Phone: (617) 667-3391
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051105000260 | I | Ophthalmology | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 370 | 337 | $0 |
| 92012 | Established patient problem focused exam of visual system | 327 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 279 | 253 | $0 |
| 92133 | Imaging of optic nerve | 266 | 245 | $0 |
| 92002 | New patient problem focused exam of visual system | 113 | 113 | $0 |
Insurance plans in this area (ZIP 02215)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
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| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | NC |
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