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DR. RUSSELL KING HELTSLEY III O.D.
NPI 1184709636
Optometrist in Bowling Green, KY

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2425 SCOTTSVILLE RD, SUITE #114, BOWLING GREEN, KY 42104(270) 846-2500(270) 846-0608 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Russell King Heltsley Iii O.d. NPPES

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

DR. RUSSELL KING HELTSLEY III O.D. (NPI 1184709636) is an individual optometrist in Bowling Green, Kentucky, licensed in Kentucky (1216 DT) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1184709636
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RUSSELL KING HELTSLEY IIICredential: O.D.
Location Address2425 SCOTTSVILLE RD, SUITE #114Bowling Green, KY 42104-4457
Mailing Address2425 Scottsville Rd, Suite #114Bowling Green, KY 42104-4457 · (270) 846-2500 · Fax (270) 846-0608
Phone(270) 846-2500
Fax(270) 846-0608
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 11, 2008
✔ NPI 1184709636 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 · 1216 DT
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.
2425 SCOTTSVILLE RD, Bowling Green, KY 42104
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Other Identifiers 4

Medicare ID-Type Unspecified9355201KY
Medicare NSC3918290001
Medicaid77012169KY
Medicare UPINU64170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Russell King Heltsley Iii 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 ID1052325438
PECOS Enrollment IDI20060206000800
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 5

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.
34 services34 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.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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

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

DR. NICOLE A. MIDDLETON, PSC
Dentist
2425 SCOTTSVILLE RD, SUITE 120
BOWLING GREEN, KY 42104
Warren County (270) 393-4814

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 Russell Heltsley's NPI number?

The NPI number for Russell Heltsley is 1184709636. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Russell Heltsley located?

Russell Heltsley practices at 2425 Scottsville Rd Suite #114, Bowling Green, KY 42104. The listed phone number is (270) 846-2500.

What is Russell Heltsley's specialty?

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

Is Russell Heltsley enrolled in Medicare?

Yes. Russell Heltsley 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 Russell Heltsley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 3 other insurers list Russell Heltsley 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 Russell Heltsley was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.