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DR. SANDRA MARIA RUGAMA OD
NPI 1093398570
Optometrist in Louisville, CO

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment
615 MAIN ST, LOUISVILLE, CO 80027(303) 666-6320(303) 666-6520 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Jun 7, 2025, May 3, 2021 (3 updates tracked since 2021).

About Dr. Sandra Maria Rugama Od NPPES

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

DR. SANDRA MARIA RUGAMA OD (NPI 1093398570) is an individual optometrist in Louisville, Colorado, licensed in Colorado (OPT.0003768) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093398570
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANDRA MARIA RUGAMACredential: OD
Location Address615 MAIN STLouisville, CO 80027-1894
Mailing Address1824 Alpine DrErie, CO 80516-4015 · (956) 483-5983 · Fax (303) 666-6520
Phone(303) 666-6320
Fax(303) 666-6520
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 3, 2021
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1093398570 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 CO · OPT.0003768✔ Licensed in AK · 245606✔ Licensed in TX · 390200000X
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.
615 MAIN ST, Louisville, CO 80027
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandra Maria Rugama 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 ID9739575572
PECOS Enrollment IDI20251218004471
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sandra Rugama reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myeyedr Optometry Of Colorado PC
3.4 mi
Optometrist
520 ZANG ST STE I
Broomfield, CO 80021
  • Reassigned Medicare billing, Colorado enrollment
  • 120 clinicians in this Medicare group
NPI 1700762275 (720) 887-6066
Juneau Eyecare Professionals LLC
1,815 mi
Optometrist
8800 GLACIER HWY STE 118
Juneau, AK 99801
  • Reassigned Medicare billing, Alaska enrollment
  • 3 clinicians in this Medicare group
NPI 1659244978 (907) 789-1855
Alaska Eyecare Professionals LLC
2,379 mi
Optometrist
4015 LAKE OTIS PKWY STE 100
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 4 clinicians in this Medicare group
NPI 1902748817 (907) 250-5300
Yukon Eyecare Professionals LLC
2,407 mi
Optometrist
1275 SADLER WAY STE 103
Fairbanks, AK 99701
  • Reassigned Medicare billing, Alaska enrollment
  • 4 clinicians in this Medicare group
NPI 1811649064 (907) 888-8174

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
45 services40 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.
20 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 2

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

KRUEGER OPTOMETRY LLC
Optometrist
615 MAIN ST
LOUISVILLE, CO 80027
Boulder County (303) 666-6320
CLAIRE KOSTERS PESKOSKY O.D.
Optometrist
615 MAIN ST
LOUISVILLE, CO 80027
Boulder County (303) 666-6320

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 Sandra Rugama's NPI number?

The NPI number for Sandra Rugama is 1093398570. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Sandra Rugama located?

Sandra Rugama practices at 615 Main St, Louisville, CO 80027. The listed phone number is (303) 666-6320.

What is Sandra Rugama's specialty?

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

Is Sandra Rugama enrolled in Medicare?

Yes. Sandra Rugama 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.

Which organizations bill Medicare for Sandra Rugama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Rugama reassigns Medicare benefits to 4 organizations: Myeyedr Optometry Of Colorado PC (Broomfield, CO), Juneau Eyecare Professionals LLC (Juneau, AK), Alaska Eyecare Professionals LLC (Anchorage, AK) and Yukon Eyecare Professionals LLC (Fairbanks, AK). Each 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 Sandra Rugama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Rugama 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 2 other insurers list Sandra Rugama 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 Sandra Rugama was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.