DR. KATHERINE MAM (OD) – Optometrist, NPI 1265021703

DR. KATHERINE MAM (OD) is a healthcare provider. based in Dracut, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5445 (MA). The NPI Number for DR. KATHERINE MAM (OD) is 1265021703

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE MAM (OD)
NPI
1265021703
Phone
(978) 957-4750
Address
91 MILL ST STE 6
Enumeration Date
11 January 2021
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789574750
Graduation Year
2020 (6 years ago)
PAC ID
2264849066
Group Practice PAC ID
7719070317
Professional Enrollment ID
I20210323001222
Address ID
MA018263277DR91XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. KATHERINE MAM (OD)

  • 91 MILL ST STE 6

    DRACUT, MA 018263277

    Phone: (978) 957-4750

    Type: Mailing

  • 27 OLD STONEHILL RD

    TYNGSBORO, MA 018792544

    Phone: (978) 987-3702

    Type: Mailing

  • 27 Old Stonehill Rd

    Tyngsboro, MA 018792544

    Phone: (978) 987-3702

    Type: Location

  • 516 WESTGATE DR

    BROCKTON, MA 023011816

    Phone: (508) 586-4435

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Alcon Vision LLC ($104).

Total Amount

$147

General + Research + Ownership

Payments

3

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$104
ABBVIE INC.$43
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: 2021-03-23

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
I20210323001222IOptometryMATBD

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
92012Established patient problem focused exam of visual system5756$0
92014Established patient complete exam of visual system4141$0
92250Photography of the retina2121$0
99212Established patient office or other outpatient visit, 10-19 minutes2116$0
92004New patient complete exam of visual system1717$0
View full utilization report →

Insurance plans in this area (ZIP 01826)

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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: 7719070317View full group profile
NameSpecialtyState
-MA
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

Can I verify DR. KATHERINE MAM (OD) with an NPI only?
You can start verification with NPI 1265021703 for DR. KATHERINE MAM (OD), then check state licensing separately.
Is DR. KATHERINE MAM (OD) still practicing?
DR. KATHERINE MAM (OD) is currently listed as active in the public NPI registry.
What healthcare role does DR. KATHERINE MAM (OD) hold?
Scheduling teams often label DR. KATHERINE MAM (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATHERINE MAM (OD) on a map?
Expect Dracut, Massachusetts as a primary anchor for DR. KATHERINE MAM (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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