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PAUL TIMOTHY BERTRAM O.D.
NPI 1093770570
Optometrist in Lexington, KY

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
989 GOVERNORS LN, LEXINGTON, KY 40513(859) 554-8265(859) 277-4490 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Timothy Bertram O.d. NPPES

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

PAUL TIMOTHY BERTRAM O.D. (NPI 1093770570) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (1569DT) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2003).

NPPES Registry Identity

NPI1093770570
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL TIMOTHY BERTRAMCredential: O.D.
Location Address989 GOVERNORS LNLexington, KY 40513-1173
Mailing Address989 Governors LnLexington, KY 40513-1173 · (859) 554-8265 · Fax (859) 277-4490
Phone(859) 554-8265
Fax(859) 277-4490
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2003
Enumeration DateApril 19, 2006
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1093770570 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 · 1569DT
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.
989 GOVERNORS LN, Lexington, KY 40513
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1340 Meijer WayLexington, KY 40503-3340 · Phone (859) 278-2020 · Fax (859) 277-4490
Location 24101 Tates Creek Centre DrLexington, KY 40517-3066 · Phone (859) 245-3332 · Fax (859) 277-4490

Other Identifiers 1

Medicaid77000974KY

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

Paul Timothy Bertram 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 ID5092876920
PECOS Enrollment IDI20081210000194
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 40513 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 10

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

VAXCARE GEORGIA LLC
Family Medicine
989 GOVERNORS LN, SUITE 160
LEXINGTON, KY 40513
Fayette County (859) 514-5547
DR. CHRISTIAN T ROSEVEAR DC
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513
Fayette County (859) 219-1011
DR. GRETCHEN EILEEN KINCHEN DMD
Dentist (General Practice)
989 GOVERNORS LN
LEXINGTON, KY 40513
Fayette County (859) 296-0296
COMMONWEALTH MEDICAL CARE, LLC
Family Medicine
989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513
Fayette County (859) 338-3958
CHIRO ONE WELLNESS CENTER OF BEAUMONT PLLC
Chiropractor
989 GOVERNORS LN, SUITE #280
LEXINGTON, KY 40513
Fayette County (606) 831-4432
BEAUMONT INTEGRATED MEDICINE PSC
Family Medicine (Adult Medicine)
989 GOVERNORS LN
LEXINGTON, KY 40513
Fayette County (859) 559-4272
SKINMD
Dermatology (MOHS-Micrographic Surgery)
989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513
Fayette County (859) 296-7546
CHRISTOPHER STARK MD PLLC
Specialist
989 GOVERNORS LN, STE 180
LEXINGTON, KY 40513
Fayette County (859) 338-3958

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 Paul Bertram's NPI number?

The NPI number for Paul Bertram is 1093770570. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Paul Bertram located?

Paul Bertram practices at 989 Governors Ln, Lexington, KY 40513. The listed phone number is (859) 554-8265.

What is Paul Bertram's specialty?

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

Is Paul Bertram enrolled in Medicare?

Yes. Paul Bertram 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.

When was this NPI record last updated?

The NPPES record for Paul Bertram was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.