PHYLLIS ANDREJKO (OD) – Optometrist, NPI 1942252366

PHYLLIS ANDREJKO (OD) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4021 (MA). The NPI Number for PHYLLIS ANDREJKO (OD) is 1942252366

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS ANDREJKO (OD)
NPI
1942252366
Phone
(617) 587-5511
Address
940 COMMONWEALTH AVE
Enumeration Date
16 May 2006
Last Update Date
13 August 2008

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6172622020
Graduation Year
1997 (29 years ago)
PAC ID
4688696628
Group Practice PAC ID
1850294125
Professional Enrollment ID
I20051219000919
Address ID
MA022151220BO930XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for PHYLLIS ANDREJKO (OD)

  • 940, Commonwealth Avenue, Allston, Boston, Suffolk County, Massachusetts, 02215, United States

    NEW ENGLAND EYE INSTITUTE

    BOSTON, MA 02215

    Phone: (617) 587-5511

    Fax: (617) 587-5512

    Type: Mailing

  • Washington Street, Roslindale, Boston, Suffolk County, Massachusetts, 02131, United States

    NEW ENGLAND EYE ROSLINDALE

    ROSLINDALE, MA 02131

    Phone: (617) 587-5520

    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 $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Horizon Therapeutics plc ($124).

Total Amount

$272

General + Research + Ownership

Payments

3

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

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: 2005-12-19

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
I20051219000919IOptometryMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10079$0
99213Established patient office or other outpatient visit, 20-29 minutes3730$0
92134Imaging of retina3126$0
99215Established patient office or other outpatient visit, 40-54 minutes3030$0
92133Imaging of optic nerve2624$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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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: 1850294125View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YTN
-NJ
O P T O M E T R YMA
O P T O M E T R YSD
O P T O M E T R YNY
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 YNY
O P T O M E T R YNY

Reviews

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Frequently asked questions

How do payers reference PHYLLIS ANDREJKO (OD)?
For PHYLLIS ANDREJKO (OD), use NPI 1942252366 as the unique 10-digit identifier.
Active or inactive — what applies to PHYLLIS ANDREJKO (OD)?
You should see PHYLLIS ANDREJKO (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for PHYLLIS ANDREJKO (OD)?
At a glance, PHYLLIS ANDREJKO (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with PHYLLIS ANDREJKO (OD)?
Directory geography for PHYLLIS ANDREJKO (OD) centers on Boston, Massachusetts.
Can I trust this NPI listing for PHYLLIS ANDREJKO (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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