DR. PHILLIP M GENDELMAN (MD) – Ophthalmology Physician, NPI 1427054576

DR. PHILLIP M GENDELMAN (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 46245 (MA). The NPI Number for DR. PHILLIP M GENDELMAN (MD) is 1427054576

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILLIP M GENDELMAN (MD)
NPI
1427054576
Phone
(617) 202-2020
Address
24 WEBSTER PL
Enumeration Date
23 June 2005
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6172022020
Graduation Year
1979 (47 years ago)
PAC ID
3274589320
Group Practice PAC ID
9739123381
Professional Enrollment ID
I20050322001129
Address ID
MA018032984BU172XXSTXX301

Contacts

Secure Messaging
pgendelman@burlington.intellechartdirect.net
Secure Messaging
pgendelman@bostonvision.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

801 OPHTHALMOLOGY in MA

Provider Addresses for DR. PHILLIP M GENDELMAN (MD)

  • 24 WEBSTER PL

    BROOKLINE, MA 024457937

    Phone: (617) 202-2020

    Fax: (617) 202-2020

    Type: Mailing

  • 172 CAMBRIDGE ST

    BURLINGTON, MA 018032921

    Phone: (617) 202-2020

    Fax: (617) 734-3264

    Type: Location

  • 172, Cambridge Street, Burlington, Middlesex County, Massachusetts, 01803-2985, United States

    BURLINGTON, MA 018032921

    Phone: (781) 272-4944

    Fax: (781) 272-8756

    Type: Mailing

  • 24 Webster Pl

    Brookline, MA 024457937

    Phone: (617) 202-2020

    Fax: (617) 202-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ABBVIE INC. ($34).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-03-22

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
I20050322001129IOphthalmologyMATBD

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
92201Extended exam of the back part of the eye with retinal drawing2,0691,259$0
92012Established patient problem focused exam of visual system1,553936$0
92014Established patient complete exam of visual system1,3971,110$0
92083Exam of visual field with extended testing820771$0
92133Imaging of optic nerve730721$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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Provider's Procedures

DR. PHILLIP M GENDELMAN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMA92012Eye and medical examination for diagnosis and treatment, established patient1019711

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: 9739123381View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G 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
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA

Reviews

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Frequently asked questions

How is DR. PHILLIP M GENDELMAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. PHILLIP M GENDELMAN (MD) with NPI 1427054576.
Does the file indicate DR. PHILLIP M GENDELMAN (MD) is practicing under active NPI?
Directory data currently reports DR. PHILLIP M GENDELMAN (MD) as active.
What is DR. PHILLIP M GENDELMAN (MD)'s primary classification?
Ophthalmology Physician is the headline specialty for DR. PHILLIP M GENDELMAN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PHILLIP M GENDELMAN (MD) on a map?
Expect Brookline, Massachusetts as a primary anchor for DR. PHILLIP M GENDELMAN (MD) unless the record lists multiple sites.
Is the information about DR. PHILLIP M GENDELMAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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