Individual provider Active NPI

Estela Valerian Ogiste, MD, PHD

  • Ophthalmology Physician
  • North Adams, MA
National Provider Identifier
1780684902
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
151 Issued in MA
Practice address
77 Hospital Ave Ste 110
North Adams, MA 01247-2592
Phone
(413) 664-6736
Fax
(413) 664-7349
NPI assigned
Jul 29, 2005
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 042.0014908 VT
Ophthalmology Physician 207W00000X 213367 NY
Ophthalmology Physician 207W00000X 151 MA Primary

Addresses

Primary practice location

77 Hospital Ave Ste 110
North Adams, MA 01247-2592

Mailing address

322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700

Other practice location 1

1783 Madison Ave
New York, NY 10035-4537
Phone (212) 348-6001

Other practice location 2

322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700 ext. 209

Other identifiers 1

IdentifierTypeStateIssuer
02166801MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, VT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040612000174 NY Practitioner - Ophthalmology 8820071426 Reassigns benefits to 2 organizations
I20201008000083 MA Practitioner - Ophthalmology 8820071426 Reassigns benefits to 1 organization
I20201210001113 VT Practitioner - Ophthalmology 8820071426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare PCGroup PAC ID 1052301546, 11 clinicians

Practice addresses (Care Compare)

322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700

77 Hospital Ave
North Adams, MA 01247-2550
Phone (413) 664-6736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
87.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery341
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
151MAMDMental Health Counselor
213367NYMDOphthalmology Physician
042.0014908VTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Ave Family Medical Center Inc CurrentSince Aug 28, 2016 Accepting new patients
Advanced Eyecare PC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Advanced Eyecare, PC PastSince Nov 15, 2020 Accepting new patients
North General Physician Services PLLC Ophthalmology PastSince Jul 1, 2006 Accepting new patients
P. Woodyear Corp. Optometrist Past Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients

Locations

77 Hospital Ave
North Adams, MA 01247
Phone (413) 346-4242

77 Hospital Ave
Ste 110
North Adams, MA 01247
Phone (413) 664-6736

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

322 Dewey St
Bennington, VT 05201
Phone (802) 447-8700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1780684902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012225",
            "telephone_number": "802-447-8700",
            "fax_number": "802-447-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 110",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472592",
            "telephone_number": "413-664-6736",
            "fax_number": "413-664-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1783 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100354537",
            "country_code": "US",
            "telephone_number": "212-348-6001",
            "fax_number": "212-348-6067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Dewey St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012225",
            "country_code": "US",
            "telephone_number": "802-447-8700 x209",
            "fax_number": "802-447-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGISTE",
        "first_name": "ESTELA",
        "middle_name": "VALERIAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042.0014908",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "213367",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.