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DR. KENNETH O. MENDELSOHN OD
NPI 1225176878
Optometrist in New York, NY

Active since February 02, 2007PECOS Enrolled
130 EAST 40TH ST. SUITE 1204, NEW YORK, NY 10016(212) 986-2153(212) 986-0398 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kenneth O. Mendelsohn Od NPPES

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

DR. KENNETH O. MENDELSOHN OD (NPI 1225176878) is an individual optometrist in New York, New York, licensed in New York (TUV003902-1) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1980).

NPPES Registry Identity

NPI1225176878
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNETH O. MENDELSOHNCredential: OD
Location Address130 EAST 40TH ST. SUITE 1204New York, NY 10016
Mailing Address130 East 40th St. Suite 1204New York, NY 10016 · (212) 986-2153 · Fax (212) 986-0398
Phone(212) 986-2153
Fax(212) 986-0398
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1980
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMarch 11, 2008
✔ NPI 1225176878 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 NY · TUV003902-1
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.
130 EAST 40TH ST. SUITE 1204, New York, NY 10016
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Other Identifiers 3

Medicare NSC0320750001NY
Medicare UPINT48957NY
Medicare PINC29921NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth O. Mendelsohn Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618057522
PECOS Enrollment IDI20080104000392
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 Kenneth Mendelsohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associates In Vision Rehabilitation, Inc.
Same address
Optometrist
130 EAST 40TH ST., SUITE 1204
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
NPI 1457490518 (212) 986-2153

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 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.
151 services143 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
61 services60 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.
60 services59 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.
40 services24 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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 Kenneth Mendelsohn's NPI number?

The NPI number for Kenneth Mendelsohn is 1225176878. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Kenneth Mendelsohn located?

Kenneth Mendelsohn practices at 130 East 40th St. Suite 1204, New York, NY 10016. The listed phone number is (212) 986-2153.

What is Kenneth Mendelsohn's specialty?

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

Is Kenneth Mendelsohn enrolled in Medicare?

Yes. Kenneth Mendelsohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Mendelsohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Mendelsohn reassigns Medicare benefits to Associates In Vision Rehabilitation, Inc. (New York, NY). 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 Kenneth Mendelsohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Mendelsohn accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Kenneth Mendelsohn 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 Kenneth Mendelsohn was last updated on March 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.