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DR. SERAFIMA PETRENKO OD, MS
NPI 1124710256
Optometrist in Marysville, OH

Active since May 25, 2023PECOS Enrolled
1001 W 5TH ST, MARYSVILLE, OH 43040(937) 644-8637 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Serafima Petrenko Od, Ms NPPES

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

DR. SERAFIMA PETRENKO OD, MS (NPI 1124710256) is an individual optometrist in Marysville, Ohio, licensed in Ohio (OPT.007140) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2023).

NPPES Registry Identity

NPI1124710256
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SERAFIMA PETRENKOCredential: OD, MS
Location Address1001 W 5TH STMarysville, OH 43040-8666
Mailing Address24125 Darby Pottersburg RdMarysville, OH 43040-9132
Phone(937) 644-8637
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2023
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1124710256 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 OH · OPT.007140
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.
1001 W 5TH ST, Marysville, OH 43040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Serafima Petrenko Od, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739530478
PECOS Enrollment IDI20260619001566, I20260706003306
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

2

Medicare enrollment records show Serafima Petrenko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seravision Inc.
8.3 mi
Optometrist
24125 DARBY POTTERSBURG RD
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
NPI 1396518353 (614) 906-5092
Excel Eyecare, LLC
208 mi
Optometrist
200 WHITEMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, Ohio, Pennsylvania, South Carolina and Texas enrollments
  • 4 clinicians in this Medicare group
NPI 1396592382 (615) 728-1441

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 6

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.

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.
203 services197 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
181 services181 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services33 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
27 services26 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
18 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DANICA DOWNARD
Optometrist
1001 W 5TH ST
MARYSVILLE, OH 43040
Union County (937) 644-8637
ABIGAIL MCROBERTS
Student in an Organized Health Care Education/Training Program
1001 W 5TH ST
MARYSVILLE, OH 43040
Union County (937) 644-8637

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 Serafima Petrenko's NPI number?

The NPI number for Serafima Petrenko is 1124710256. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Serafima Petrenko located?

Serafima Petrenko practices at 1001 W 5th St, Marysville, OH 43040. The listed phone number is (937) 644-8637.

What is Serafima Petrenko's specialty?

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

Is Serafima Petrenko enrolled in Medicare?

Yes. Serafima Petrenko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Serafima Petrenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serafima Petrenko reassigns Medicare benefits to 2 organizations: Seravision Inc. (Marysville, OH) and Excel Eyecare, LLC (Elkins, WV). 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 Serafima Petrenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Serafima Petrenko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Serafima Petrenko 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 Serafima Petrenko was last updated on May 25, 2023. 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.