DR. JOHN STEPHEN RUBSAM O.D.
NPI 1164493391
Optometrist in Branford, CT

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
71 CEDAR ST, BRANFORD, CT 06405(203) 481-5909(203) 483-5289 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Stephen Rubsam O.d. NPPES

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

DR. JOHN STEPHEN RUBSAM O.D. (NPI 1164493391) is an individual optometrist in Branford, Connecticut, licensed in Connecticut (1022) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1983).

NPPES Registry Identity

NPI1164493391
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN STEPHEN RUBSAMCredential: O.D.
Location Address71 CEDAR STBranford, CT 06405
Mailing Address71 Cedar StBranford, CT 06405 · (203) 481-5909 · Fax (203) 483-5289
Fax(203) 483-5289
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1983
Enumeration DateJanuary 27, 2006
Last NPPES UpdateMay 23, 2016
NPI 1164493391 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 CT · 1022
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.

71 CEDAR ST, Branford, CT 06405

Other Identifiers 8

Other090001022CT01CT · Anthem Blue Cross Id
Other4419937CT · Aetna Id
OtherOV1151CT · Healthnet Of Conn. Id
Medicare UPINT22335CT
Medicare ID-Type Unspecified410000356CT
Other615076CT · Connecticare Id
Medicaid004075511CT
OtherP1285753CT · Oxford Heath Id

Accepted Insurance

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

Dr. John Stephen Rubsam 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 ID2163694985
PECOS Enrollment IDI20111020000081
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.

Areas of Expertise CMS Part B claims

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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06405 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 John Rubsam's NPI number?

The NPI number for John Rubsam is 1164493391. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is John Rubsam located?

John Rubsam practices at 71 Cedar St, Branford, CT 06405. The listed phone number is (203) 481-5909.

What is John Rubsam's specialty?

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

Is John Rubsam enrolled in Medicare?

Yes. John Rubsam 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.

What insurance does John Rubsam accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list John Rubsam 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 John Rubsam was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.