Individual provider Active NPI

Emma Massicotte, M.D.

  • Ophthalmology Physician
  • Manchester, MA
National Provider Identifier
1821082660
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
218964 Issued in MA
Practice address
195 School St
Suite B
Manchester, MA 01944-1700
Phone
(978) 526-4800
Fax
(978) 526-7179
NPI assigned
Sep 8, 2005
Last updated
May 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 218964 MA Primary

Addresses

Primary practice location

195 School St
Suite B
Manchester, MA 01944-1700

Mailing address

195 School St
Suite B
Manchester, MA 01944-1700
Phone (978) 526-4800

Other identifiers 1

IdentifierTypeStateIssuer
2021196MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000147 MA Practitioner - Ophthalmology 1254463524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Gurley MD PCGroup PAC ID 1052363405, 5 clinicians

Practice addresses (Care Compare)

195 School St
Suite B
Manchester, MA 01944-1704
Phone (978) 526-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218964MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Gurley, MD, PC Ophthalmology CurrentSince Sep 1, 2003 Accepting new patients
John Gurley, MD, PC Ophthalmology PastSince Sep 1, 2003 Accepting new patients

Locations

195 School St
Ste B
Manchester by the Sea, MA 01944
Phone (978) 526-4800

Organizations & group practices 2

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1821082660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SCHOOL ST",
            "address_2": "SUITE B",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441700",
            "telephone_number": "978-526-4800",
            "fax_number": "978-526-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SCHOOL ST",
            "address_2": "SUITE B",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441700",
            "telephone_number": "978-526-4800",
            "fax_number": "978-526-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSICOTTE",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "218964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021196",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MA

Sources for this page

Verify at the official NPI Registry.