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LORI A HARKINS M D
NPI 1154322501
Ophthalmology in Grand Island, NE

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
90.41/100
CMS Quality Rating
830 N ALPHA ST, GRAND ISLAND, NE 68803(308) 384-9148(308) 384-9158 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori A Harkins M D NPPES

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

LORI A HARKINS M D (NPI 1154322501) is an individual ophthalmology provider in Grand Island, Nebraska, licensed in Nebraska (17913) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Chi Health St. Francis, and is a graduate of University Of Texas Medical School At Houston (1983).

NPPES Registry Identity

NPI1154322501
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLORI A HARKINSCredential: M D
Location Address830 N ALPHA STGrand Island, NE 68803-4320
Mailing Address830 N Alpha StGrand Island, NE 68803-4320 · (308) 384-9148 · Fax (308) 384-9158
Phone(308) 384-9148
Fax(308) 384-9158
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1983
Enumeration DateAugust 9, 2005
Last NPPES UpdateJune 20, 2014
✔ NPI 1154322501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NE · 17913
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
830 N ALPHA ST, Grand Island, NE 68803
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN180021158NE
Medicaid47072813900NE
Medicare PIN266959NE

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

Lori A Harkins M 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 ID5597880617
PECOS Enrollment IDI20100916000972
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 Lori Harkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lori A Harkins MD PC
Same address
Ophthalmology
830 N ALPHA ST
Grand Island, NE 68803
  • Reassigned Medicare billing, Nebraska enrollment
NPI 1912198094 (308) 384-9148

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 16

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,049 services914 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
434 services391 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
417 services344 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
369 services301 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.
359 services248 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
143 services97 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280023
Location2620 West Faidley AveGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

90.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost68.04

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
86%72 patients4/55-star benchmark: 87%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%175 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
93%152 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%45 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 844 patients
Patients screened: 98% · 844 patients
83%54 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
90%181 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
97%179 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,609 patients
Patients totalRate: 0% · 1,609 patients
0%1,609 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers27 claims27 services$48.64 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers22 claims37 services$40.04 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers20 claims34 services$41.32 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims21 services$9.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LORI A HARKINS MD PC
Ophthalmology
830 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 384-9148

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 Lori Harkins's NPI number?

The NPI number for Lori Harkins is 1154322501. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Lori Harkins located?

Lori Harkins practices at 830 N Alpha St, Grand Island, NE 68803. The listed phone number is (308) 384-9148.

What is Lori Harkins's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lori Harkins enrolled in Medicare?

Yes. Lori Harkins 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 Lori Harkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Harkins reassigns Medicare benefits to Lori A Harkins MD PC (Grand Island, NE). 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 Lori Harkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lori Harkins affiliated with any hospitals?

According to CMS data, Lori Harkins is affiliated with Chi Health St. Francis.

When was this NPI record last updated?

The NPPES record for Lori Harkins was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.