COURTNEY ANNE ETZKORN O.D.
NPI 1083096523
Optometrist in Saint Louis, MO
About Courtney Anne Etzkorn O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY ANNE ETZKORN O.D. (NPI 1083096523) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2015019903) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Courtney Anne Etzkorn O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Courtney Etzkorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mason, OH 45040
- Reassigned Medicare billing, Missouri enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Courtney Etzkorn's NPI number?
The NPI number for Courtney Etzkorn is 1083096523. It was assigned to this individual provider in the NPPES registry on June 21, 2015.
Where is Courtney Etzkorn located?
Courtney Etzkorn practices at 122 S County Center Way, Saint Louis, MO 63129. The listed phone number is (314) 416-7588.
What is Courtney Etzkorn's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Courtney Etzkorn enrolled in Medicare?
Yes. Courtney Etzkorn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Courtney Etzkorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Etzkorn reassigns Medicare benefits to Luxottica Of America Inc. (Mason, OH). 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 Courtney Etzkorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Etzkorn accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 1 other insurer list Courtney Etzkorn 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 Courtney Etzkorn was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Courtney Anne Etzkorn, O.D. · NPI 1083096523
Optometrist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 21, 2015.
## Identity
- **NPI:** 1083096523 (Entity type: Individual)
- **Enumerated:** June 21, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2015019903 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 122 S COUNTY CENTER WAY, Saint Louis, MO 63129-1092
- **Phone:** (314) 416-7588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Luxottica Of America Inc. (NPI 1831244953, Mason, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2015
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083096523) · Data from the CMS NPPES public registry.