MONICA ROSE THEROUX OD
NPI 1023627031
Optometrist in Uniontown, PA

Active since July 26, 2020PECOS EnrolledAccepts Medicare Assignment
82 MCCLELLANDTOWN RD, UNIONTOWN, PA 15401(724) 437-1300 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2021, Aug 19, 2020, Jul 26, 2020 (3 updates tracked since 2020).

About Monica Rose Theroux Od NPPES

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

MONICA ROSE THEROUX OD (NPI 1023627031) is an individual optometrist in Uniontown, Pennsylvania, licensed in Pennsylvania (OEG003718) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2020).

NPPES Registry Identity

NPI1023627031
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMONICA ROSE THEROUXCredential: OD
Location Address82 MCCLELLANDTOWN RDUniontown, PA 15401-5522
Mailing Address82 Mcclellandtown RdUniontown, PA 15401-5522 · (724) 437-1300 · Fax (724) 437-5456
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2020
Enumeration DateJuly 26, 2020
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 13, 2021
NPI 1023627031 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 · OEG003718
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.

82 MCCLELLANDTOWN RD, Uniontown, PA 15401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Monica Rose Theroux Od 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 ID3779900881
PECOS Enrollment IDI20200902003442
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.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
73 services73 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.
40 services34 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15401 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

Optometrist
82 MCCLELLANDTOWN RD
UNIONTOWN, PA 15401

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 Monica Theroux's NPI number?

The NPI number for Monica Theroux is 1023627031. It was assigned to this individual provider in the NPPES registry on July 26, 2020.

Where is Monica Theroux located?

Monica Theroux practices at 82 Mcclellandtown Rd, Uniontown, PA 15401. The listed phone number is (724) 437-1300.

What is Monica Theroux's specialty?

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

Is Monica Theroux enrolled in Medicare?

Yes. Monica Theroux 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.

What insurance does Monica Theroux accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Monica Theroux 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 Monica Theroux was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.