LIONEL NELSON CHAMBERLAIN OD
NPI 1225039340
Optometrist in Fairmont, NC

Q: What is Lionel Chamberlain's NPI number?

The NPI number for Lionel Chamberlain is 1225039340. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Lionel Chamberlain's specialty?

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

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

204 IONA ST, FAIRMONT, NC 28340(910) 268-8316(910) 628-5642 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lionel Nelson Chamberlain Od NPPES

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

LIONEL NELSON CHAMBERLAIN OD (NPI 1225039340) is an individual optometrist in Fairmont, North Carolina, licensed in North Carolina (832) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1967).

NPPES Registry Identity

NPI1225039340

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameLIONEL NELSON CHAMBERLAINCredential: OD

Location Address204 IONA STFairmont, NC 28340-1616

Mailing AddressPo Box 648Fairmont, NC 28340-0648 · (910) 628-8316 · Fax (910) 628-5642

Phone(910) 268-8316

Fax(910) 628-5642

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 1967

Enumeration DateAugust 10, 2005

Last NPPES UpdateApril 3, 2008

✔ NPI 1225039340 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 NC · 832

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.

204 IONA ST, Fairmont, NC 28340

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Other Identifiers 5

Medicare NSC0353960001

Medicare UPINT64591

Medicare PIN246014

Medicaid8909145NC

Other0353960001Palmetto Gba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Lionel Nelson Chamberlain Od 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 ID9335273481

PECOS Enrollment IDI20100811001088

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 7

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.

221 services180 patients

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.

188 services95 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.

139 services69 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.

71 services55 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.

28 services19 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.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28340 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%87 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

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

U-v lens, per lens V2755

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims21 services$13.40 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 6

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

HAL C HERRING JR. OD, PA

Optometrist