PAWARISSARA OSATHANUGRAH – Ophthalmology Physician, NPI 1679102669
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
801 OPHTHALMOLOGY in MA
Provider Addresses for PAWARISSARA OSATHANUGRAH
416 MARLBOROUGH ST APT 701
BOSTON, MA 021151507
Phone:
Type: Mailing
2100 DORCHESTER AVE
DORCHESTER, MA 021245615
Phone: (617) 296-4000
Type: Location
85 E CONCORD ST
BOSTON, MA 021182335
Phone:
Type: Mailing
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 434-1401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sight Sciences, Inc. ($144).
Total Amount
$217
General + Research + Ownership
Payments
4
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sight Sciences, Inc. | $144 |
| Tarsus Pharmaceuticals, Inc. | $34 |
| Astellas Pharma US Inc | $21 |
| Bausch & Lomb Americas Inc. | $19 |
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: 2025-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240712001270 | I | Ophthalmology | FL | TBD |
| I20251208003827 | I | Ophthalmology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL | |
| - | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL | |
| - | FL |
Reviews
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