✓ Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) (207W00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MAIDA P. ANTIGUA, M.D. (NPI #1477549061)

Ophthalmology • HINGHAM, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1477549061
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207W00000X (CMS 18)
Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
Box 32 Service Location & ZIP+4
160 OLD DERBY ST STE 451, HINGHAM, MA, 02043-4062
✓ 9-Digit EDI 837 ZIP+4 (02043-4062)
Practice Phone & Referral Fax
Fax: (781) 374-7207
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477549061 (MAIDA P. ANTIGUA, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1477549061)

Medicare Beneficiaries
337
Total Billed Services
1,092
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$91,239.65

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
66821 Removal of recurring cataract in lens capsule using a laser20
92012 Established patient problem focused exam of visual system303
92014 Established patient complete exam of visual system320
92081 Exam of visual field with limited testing20
92083 Exam of visual field with extended testing160
92250 Photography of the retina222
92285 Photography of content of eyes30

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Brinzolamide
Brinzolamide
11<11
Combigan
Brimonidine Tartrate/Timolol
13<11
Dorzolamide Hcl
Dorzolamide Hcl
18<11
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
6222
Dorzolamide-Timolol
Dorzolamide/Timolol/Pf
21<11
Erythromycin
Erythromycin Base
3019
Fluorometholone
Fluorometholone
15<11
Latanoprost
Latanoprost
18355

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1477549061 (NPI-1 Individual Practitioner)
Provider / Legal NameMAIDA P. ANTIGUA, M.D.
Plain-English SpecialtyBoard-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
NUCC Code: 207W00000X (Ophthalmology)
Certifying / Licensing BodyAmerican Board of Ophthalmology (ABO)
Practice Location Address160 OLD DERBY ST STE 451, HINGHAM, MA, 02043-4062
Practice Telephone / FaxTel: (781) 980-1290 | Fax: (781) 374-7207
Administrative Mailing Address160 OLD DERBY ST STE 451, HINGHAM, MA, 02043-4062
Enumeration & Last SyncEnumerated: 2005-09-20 | CMS Record Updated: 2023-11-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

160 OLD DERBY ST STE 451, HINGHAM, MA, 02043-4062

🗺️ Open in Google Maps 🏥 More Providers in HINGHAM

Plain-English Taxonomy & CMS Crosswalk (207W00000X)

What Does Taxonomy Code 207W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207W00000X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 18 (Physician/Ophthalmology)
Certifying / Accrediting Authority: American Board of Ophthalmology (ABO)
Clinical Scope: Cloudy vision from cataracts, annual diabetic eye exams, glaucoma pressure checks, sudden flashes/floaters, or macular degeneration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MAIDA P. ANTIGUA, M.D.)

Typical CPT / Diagnostic Procedures:
  • Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
  • Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
  • Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
  • Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening
Common Therapeutic Classes:
  • Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
  • Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
  • Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207W00000X — Ophthalmology
Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
State: MA | License: 40534 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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