CALEB A LESNOFF OD
NPI 1063884575
Optometrist in Rocky Mount, NC

Active since October 23, 2015PECOS EnrolledAccepts Medicare Assignment
81.73/100
CMS Quality Rating
450 JONES RD, ROCKY MOUNT, NC 27804(252) 443-1006(252) 937-8366 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb A Lesnoff Od NPPES

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

CALEB A LESNOFF OD (NPI 1063884575) is an individual optometrist in Rocky Mount, North Carolina, licensed in North Carolina (2429) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063884575
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCALEB A LESNOFFCredential: OD
Location Address450 JONES RDRocky Mount, NC 27804-8207
Mailing Address450 Jones RdRocky Mount, NC 27804-8207 · (252) 443-1006 · Fax (252) 937-8366
Fax(252) 937-8366
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 23, 2015
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedNovember 4, 2020
NPI 1063884575 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 NC · 2429
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.
450 JONES RD, Rocky Mount, NC 27804

Other Identifiers 1

Other2429NC · Nc Professional License

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

Caleb A Lesnoff 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 ID7012210016
PECOS Enrollment IDI20160126000928
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 8

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,002 services915 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.
353 services271 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
269 services228 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
237 services213 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
179 services179 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
121 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.47
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
96%234 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%6,551 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,456 patients
Patients screened: 99% · 1,456 patients
99%142 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%220 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Optometrist
450 JONES RD
ROCKY MOUNT, NC 27804
Ophthalmology
450 JONES RD
ROCKY MOUNT, NC 27804
Ophthalmology
450 JONES RD
ROCKY MOUNT, NC 27804
Physician Assistant
450 JONES RD
ROCKY MOUNT, NC 27804
Clinic/Center (Ambulatory Surgical)
450 JONES RD
ROCKY MOUNT, NC 27804

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 Caleb Lesnoff's NPI number?

The NPI number for Caleb Lesnoff is 1063884575. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Caleb Lesnoff located?

Caleb Lesnoff practices at 450 Jones Rd, Rocky Mount, NC 27804. The listed phone number is (252) 443-1006.

What is Caleb Lesnoff's specialty?

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

Is Caleb Lesnoff enrolled in Medicare?

Yes. Caleb Lesnoff 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 Caleb Lesnoff accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Caleb Lesnoff 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 Caleb Lesnoff was last updated on September 27, 2021. 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.