ELITE BOR-SHAVIT (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1104303858

ELITE BOR-SHAVIT (MD) is a healthcare provider. based in Lancaster, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 276771 (MA). The NPI Number for ELITE BOR-SHAVIT (MD) is 1104303858

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ELITE BOR-SHAVIT (MD)
NPI
1104303858
Phone
(978) 728-5445
Address
479 OLD UNION TPKE
Enumeration Date
25 July 2018
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785373900
Graduation Year
2005 (21 years ago)
PAC ID
3971840711
Group Practice PAC ID
5597755314
Professional Enrollment ID
I20190131002789
Address ID
MA015233029LA479XXTPKE400

Contacts

Secure Messaging
direct@dambrosioeyecarelancasterma.compulinkdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

801 OPHTHALMOLOGY in MA

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Provider Addresses for ELITE BOR-SHAVIT (MD)

  • 479, Old Union Turnpike, Lancaster, Worcester County, Massachusetts, 01453-3312, United States

    LANCASTER, MA 015233029

    Phone: (978) 728-5445

    Fax: (978) 537-6030

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $848.

Total Amount is formed as General ($848) + Research ($0) + Ownership ($0) = $848.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Genentech USA, Inc. ($366).

Total Amount

$848

General + Research + Ownership

Payments

8

Total payment records

General Amount

$848

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-01-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190131002789IOphthalmologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg14,88559$0
92134Imaging of retina1,573604$0
J0178Injection, aflibercept, 1 mg1,036106$0
67028Injection of drug into eye1,015200$0
J2781Injection, pegcetacoplan, intravitreal, 1 mg55518$0
View full utilization report →

Insurance plans in this area (ZIP 01523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597755314View full group profile
NameSpecialtyState
O P T O M E T R YMA
-MA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Is there an official ID for ELITE BOR-SHAVIT (MD) in U.S. healthcare records?
The official identifier for ELITE BOR-SHAVIT (MD) is NPI 1104303858.
Active or inactive — what applies to ELITE BOR-SHAVIT (MD)?
You should see ELITE BOR-SHAVIT (MD) as active in CMS-hosted NPPES data.
What area of care is associated with ELITE BOR-SHAVIT (MD)?
ELITE BOR-SHAVIT (MD)'s record emphasizes Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ELITE BOR-SHAVIT (MD)?
Directory geography for ELITE BOR-SHAVIT (MD) centers on Lancaster, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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