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MRS. DONNA LOUISE GRIDER O.D.
NPI 1003952359
Optometrist in Springfield, PA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
1250 BALTIMORE PIKE, SPRINGFIELD, PA 19064(610) 544-1841(610) 544-2984 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Donna Louise Grider O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DONNA LOUISE GRIDER O.D. (NPI 1003952359) is an individual optometrist in Springfield, Pennsylvania, licensed in Pennsylvania (OEG001434) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1003952359
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. DONNA LOUISE GRIDERCredential: O.D.
Location Address1250 BALTIMORE PIKESpringfield, PA 19064-2706
Mailing Address444 Irvington RdDrexel Hill, PA 19026-1321 · (484) 459-3217
Phone(610) 544-1841
Fax(610) 544-2984
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1003952359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG001434
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1250 BALTIMORE PIKE, Springfield, PA 19064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Donna Louise Grider O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759769458
PECOS Enrollment IDI20220609000032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donna Grider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Irefract PC
567 mi
Optometrist
3408 BARDSTOWN RD
Louisville, KY 40218
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1679166193 (502) 912-9869

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
235 services235 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services112 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUXOTTICA OF AMERICA INC
Eyewear Supplier
1250 BALTIMORE PIKE
SPRINGFIELD, PA 19064
Delaware County (610) 544-1841
L. RAND ENTERPRISES INC.
Optometrist
1250 BALTIMORE PIKE, PEARLE VISION
SPRINGFIELD, PA 19064
Delaware County (610) 544-1841
DR. LESLIE RAND WILDERSON OD
Optometrist
1250 BALTIMORE PIKE, PEARLE VISION
SPRINGFIELD, PA 19064
Delaware County (610) 544-1841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Grider's NPI number?

The NPI number for Donna Grider is 1003952359. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Donna Grider located?

Donna Grider practices at 1250 Baltimore Pike, Springfield, PA 19064. The listed phone number is (610) 544-1841.

What is Donna Grider's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Donna Grider enrolled in Medicare?

Yes. Donna Grider is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Donna Grider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Grider reassigns Medicare benefits to Irefract PC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Grider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Grider accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Donna Grider as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Grider was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.