DR. ANDREW LEIGH ELM OD
NPI 1235866500
Optometrist in New York, NY

Active since August 05, 2022PECOS Enrolled
173 7TH AVE, NEW YORK, NY 10011(212) 627-4488 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andrew Leigh Elm Od NPPES

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

DR. ANDREW LEIGH ELM OD (NPI 1235866500) is an individual optometrist in New York, New York, licensed in New York (009634) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2022).

NPPES Registry Identity

NPI1235866500
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW LEIGH ELMCredential: OD
Location Address173 7TH AVENew York, NY 10011-1804
Mailing Address1869 Rainbow AveDe Pere, WI 54115-1721 · (920) 246-9353
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2022
Enumeration DateAugust 5, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1235866500 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 · 009634
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.
173 7TH AVE, New York, NY 10011

Accepted 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. Andrew Leigh Elm Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395111009
PECOS Enrollment IDI20221021000236
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 Reassignments

3

Medicare enrollment records show Andrew Elm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Optometrist
173 7TH AVE
New York, NY 10011
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
Optometrist
1353 3RD AVE
New York, NY 10075
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Optometrist
306 COURT ST
Brooklyn, NY 11231
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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.

Other Providers at the Same Location NPPES 2

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

Optometrist
173 7TH AVE
NEW YORK, NY 10011
Optometrist
173 7TH AVE
NEW YORK, NY 10011

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 Andrew Elm's NPI number?

The NPI number for Andrew Elm is 1235866500. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Andrew Elm located?

Andrew Elm practices at 173 7th Ave, New York, NY 10011. The listed phone number is (212) 627-4488.

What is Andrew Elm's specialty?

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

Is Andrew Elm enrolled in Medicare?

Yes. Andrew Elm is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Elm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Elm reassigns Medicare benefits to 3 organizations: Lmj Vision, Inc. (New York, NY), The Gelman's Optical, Inc (New York, NY) and Jl Vision, Inc (Brooklyn, NY). Each 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 Andrew Elm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Elm accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Andrew Elm 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 Andrew Elm was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.