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DR. BENJAMIN ROWE O.D.
NPI 1063460103
Optometrist in Doylestown, PA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
16 W STATE ST, DOYLESTOWN, PA 18901(215) 345-4186(215) 345-4196 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Benjamin Rowe O.d. NPPES

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

DR. BENJAMIN ROWE O.D. (NPI 1063460103) is an individual optometrist in Doylestown, Pennsylvania, licensed in Pennsylvania (OEG001113) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2002).

NPPES Registry Identity

NPI1063460103
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN ROWECredential: O.D.
Location Address16 W STATE STDoylestown, PA 18901-4217
Mailing Address16 W State StDoylestown, PA 18901-4217 · (215) 345-4186 · Fax (215) 345-4196
Phone(215) 345-4186
Fax(215) 345-4196
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2002
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 6, 2012
✔ NPI 1063460103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG001113✔ Licensed in NJ · 27TO00124800✔ Licensed in NJ · 27OA00585300
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.
16 W STATE ST, Doylestown, PA 18901
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Other Identifiers 1

Medicare UPINU96805

Accepted Insurance

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

Dr. Benjamin Rowe 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 ID7810926649
PECOS Enrollment IDI20080421000013
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 5

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.
174 services153 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.
88 services85 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
53 services34 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
37 services37 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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

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

DOYLESTOWN FAMILY EYE ASSOCIATES
Optometrist
16 W STATE ST
DOYLESTOWN, PA 18901
Bucks County (215) 345-4186

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 Benjamin Rowe's NPI number?

The NPI number for Benjamin Rowe is 1063460103. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Benjamin Rowe located?

Benjamin Rowe practices at 16 W State St, Doylestown, PA 18901. The listed phone number is (215) 345-4186.

What is Benjamin Rowe's specialty?

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

Is Benjamin Rowe enrolled in Medicare?

Yes. Benjamin Rowe 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 Benjamin Rowe accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Benjamin Rowe 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 Benjamin Rowe was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.