ANA LUIZA FONTES DE AZEVEDO COSTA (M.D., PHD) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1750915450
Pediatric Ophthalmology and Strabismus Specialist Physician
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Profile Insights
NPPES metrics only — not quality of care.
801 OPHTHALMOLOGY in MA
Provider Addresses for ANA LUIZA FONTES DE AZEVEDO COSTA (M.D., PHD)
10 CENTENNIAL DR
PEABODY, MA 019607938
Phone: (781) 216-3400
Type: Mailing
3223 LEMMON AVE APT 2131
DALLAS, TX 752041817
Phone:
Type: Mailing
2350 N STEMMONS FWY
DALLAS, TX 752072700
Phone: (214) 456-7000
Type: Location
5 Coliseum Ave
Nashua, NH 030633206
Phone: (603) 689-9304
Fax: (603) 689-9304
Type: Location
300 Longwood Ave
Boston, MA 021155724
Phone: (617) 355-6000
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
3215 WINGATE CT STE 102
COLUMBIA, MO 652017689
Phone: (573) 884-3937
Fax: (573) 884-4868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Amgen Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $20 |
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: 2024-10-01
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 |
|---|---|---|---|---|
| I20240717001950 | I | Ophthalmology | MA | TBD |
| I20241001003911 | I | Ophthalmology | NH | 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 01960)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | AZ | |
| O P H T H A L M O L O G Y | NH | |
| O P H T H A L M O L O G Y | MA | |
| O P T O M E T R Y | NH | |
| O P T O M E T R Y | NH | |
| O P H T H A L M O L O G Y | MA | |
| O P T O M E T R Y | MA | |
| O P H T H A L M O L O G Y | NH | |
| - | NH | |
| O P T O M E T R Y | NH |
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