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DR. JOSHUA JAMES HOPKINS O.D.
NPI 1194834465
Optometrist in Wayne, NE

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1112 W 7TH ST, WAYNE, NE 68787(402) 375-5160(402) 375-3302 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joshua James Hopkins O.d. NPPES

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

DR. JOSHUA JAMES HOPKINS O.D. (NPI 1194834465) is an individual optometrist in Wayne, Nebraska, licensed in Nebraska (1169) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wayne, and is a graduate of Indiana University - School Of Optometry (2001).

NPPES Registry Identity

NPI1194834465
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSHUA JAMES HOPKINSCredential: O.D.
Location Address1112 W 7TH STWayne, NE 68787-1683
Mailing AddressPo Box 309Wayne, NE 68787-0309 · (402) 375-5160 · Fax (402) 375-3302
Phone(402) 375-5160
Fax(402) 375-3302
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2001
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 28, 2018
✔ NPI 1194834465 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 NE · 1169
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.
1112 W 7TH ST, Wayne, NE 68787
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Secondary Practice Location 1

Location 1215 W 2nd StWayne, NE 68787-1842 · Phone (402) 375-5160 · Fax (402) 375-3302

Other Identifiers 2

Medicaid10026203700NE
OtherDS4736NE · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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. Joshua James Hopkins 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 ID2466554290
PECOS Enrollment IDI20070226000670
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 9

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.
227 services222 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.
148 services115 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.
99 services90 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).
84 services56 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
49 services27 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
38 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68787 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.

Referred Medical Equipment & Supplies CMS DME claims

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
1 supplier12 claims12 services$49.46 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 3

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

DR. RACHEL RENEE SINDELAR OD
Optometrist
1112 W 7TH ST
WAYNE, NE 68787
Wayne County (402) 375-5160
DR. SCOTT RONHOVDE OD
Optometrist
1112 W 7TH ST
WAYNE, NE 68787
Wayne County (402) 375-5160
MAGNUSON HOPKINS EYECARE PC
Optometrist
1112 W 7TH ST
WAYNE, NE 68787
Wayne County (402) 375-5160

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 Joshua Hopkins's NPI number?

The NPI number for Joshua Hopkins is 1194834465. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Joshua Hopkins located?

Joshua Hopkins practices at 1112 W 7th St, Wayne, NE 68787. The listed phone number is (402) 375-5160.

What is Joshua Hopkins's specialty?

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

Is Joshua Hopkins enrolled in Medicare?

Yes. Joshua Hopkins 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 Joshua Hopkins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 7 other insurers list Joshua Hopkins 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 Joshua Hopkins was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.