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MARY ELLEN JUDGE O.D.
NPI 1124012471
Optometrist in Wilkes Barre, PA

Active since September 01, 2005PECOS Enrolled
52.52/100
CMS Quality Rating
679 KIDDER ST, WILKES BARRE, PA 18702(570) 825-3491 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2022, Oct 8, 2019, Jul 26, 2018 (3 updates tracked since 2018).

About Mary Ellen Judge O.d. NPPES

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

MARY ELLEN JUDGE O.D. (NPI 1124012471) is an individual optometrist in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OE006896T) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124012471
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY ELLEN JUDGECredential: O.D.
Location Address679 KIDDER STWilkes Barre, PA 18702-6908
Mailing Address500 Scott StWilkes Barre, PA 18702-5613 · (570) 704-0300
Phone(570) 825-3491
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1124012471 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 PA · OE006896T
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.
679 KIDDER ST, Wilkes Barre, PA 18702
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Other Identifiers 1

Medicaid0070462900002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Judge O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

52.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost25.08

Other Providers at the Same Location NPPES 4

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

LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
679 KIDDER ST, TRIANGLE PLAZA STE #A
WILKES BARRE, PA 18702
Luzerne County (570) 824-5715
LISA A TOOLE O.D.
Optometrist
679 KIDDER ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-3491
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Technician/Technologist (Optician)
679 KIDDER ST, STORE # 8
WILKES BARRE, PA 18702
Luzerne County (570) 704-0300
OPTICAL NEI INC
Eyewear Supplier
679 KIDDER ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-3491

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 Mary Ellen Judge's NPI number?

The NPI number for Mary Ellen Judge is 1124012471. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Mary Ellen Judge located?

Mary Ellen Judge practices at 679 Kidder St, Wilkes Barre, PA 18702. The listed phone number is (570) 825-3491.

What is Mary Ellen Judge's specialty?

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

Is Mary Ellen Judge enrolled in Medicare?

Yes. Mary Ellen Judge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Judge was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.