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

Q: 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.

Q: What is Paul Bertram's specialty?

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

Q: 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 8 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.

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: October 25, 2026.

On this page

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

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Secondary Practice Locations 2

Location 14101 Tates Creek Centre DrLexington, KY 40517-3066 · Phone (859) 245-3332 · Fax (859) 277-4490

Location 2340 Meijer WayLexington, KY 40503-3340 · Phone (859) 278-2020 · Fax (859) 277-4490

Other Identifiers 1

Medicaid77000974KY

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 Montana, Blue Cross and Blue Shield of Oklahoma 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Bertram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Simpson Optical PLLC

2.3 mi

Optometrist

340 MEIJER WAY
Lexington, KY 40503

Reassigned Medicare billing, Kentucky enrollment
11 clinicians in this Medicare group

NPI 1780875880 (859) 278-0055

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 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 11

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

MARIATHINA PANAYI LPCA

Counselor

989 GOVERNORS LN
LEXINGTON, KY 40513

Fayette County (859) 428-8883

SKINMD

Dermatology (MOHS-Micrographic Surgery)

989 GOVERNORS LN, SUITE 220
LEXINGTON, KY 40513

Fayette County (859) 296-7546

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.

Which organization bills Medicare for Paul Bertram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bertram reassigns Medicare benefits to Simpson Optical PLLC (Lexington, KY). 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 Paul Bertram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Bertram accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Paul Bertram 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 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 8 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.