1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Optometrist
  6. NPI Profile

KATERYNA YUSUPOV
NPI 1053100081
Optometrist in Lexington, KY

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
535 WELLINGTON WAY STE 160, LEXINGTON, KY 40503(859) 245-2020 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 27, 2025, May 5, 2025 (2 updates tracked since 2025).

About Kateryna Yusupov NPPES

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

KATERYNA YUSUPOV (NPI 1053100081) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (2441DT) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053100081
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATERYNA YUSUPOV
Location Address535 WELLINGTON WAY STE 160Lexington, KY 40503-1387
Mailing Address535 Wellington Way Ste 160Lexington, KY 40503-1387 · (859) 245-2020
Phone(859) 245-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 5, 2025
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1053100081 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 KY · 2441DT
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.
535 WELLINGTON WAY STE 160, Lexington, KY 40503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Kateryna Yusupov 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 ID3375050859
PECOS Enrollment IDI20250729003342
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

SYMONE PURCELL OD
Optometrist
535 WELLINGTON WAY STE 160
LEXINGTON, KY 40503
Fayette County (859) 245-2020
J GALT EYEWEAR LLC
Optometrist
535 WELLINGTON WAY STE 160
LEXINGTON, KY 40503
Fayette County (859) 245-2020
DANITA TURPIN O.D.
Optometrist
535 WELLINGTON WAY STE 160
LEXINGTON, KY 40503
Fayette County (859) 245-2020

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 Kateryna Yusupov's NPI number?

The NPI number for Kateryna Yusupov is 1053100081. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Kateryna Yusupov located?

Kateryna Yusupov practices at 535 Wellington Way Ste 160, Lexington, KY 40503. The listed phone number is (859) 245-2020.

What is Kateryna Yusupov's specialty?

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

Is Kateryna Yusupov enrolled in Medicare?

Yes. Kateryna Yusupov 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 Kateryna Yusupov accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kateryna Yusupov 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 Kateryna Yusupov was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.