DR. THADDEUS P. DRYJA (MD) – Ophthalmology Physician, NPI 1619961968
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
799 PATHOLOGY in MA
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Provider Addresses for DR. THADDEUS P. DRYJA (MD)
Boston, Route de Thionville, Bonnevoie, Luxembourg, Canton Luxembourg, 2543, Luxembourg
BOSTON, MA 021140916
Phone: (617) 573-4458
Fax: (617) 573-4037
Type: Mailing
Massachusetts Eye and Ear, 243, Charles Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
BOSTON, MA 021143002
Phone: (617) 573-3319
Type: Location
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: 2004-03-08
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 |
|---|---|---|---|---|
| I20040308000351 | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 112 | 88 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 67 | 57 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 37 | 36 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| O P T O M E T R Y | MA | |
| O P H T H A L M O L O G Y | MA | |
| - | OH | |
| N E U R O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| N E U R O L O G Y | MA | |
| - | MA | |
| Diagnostic Radiology | MA |
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