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DR. PAUL K ALBERT O.D.
NPI 1255440467
Optometrist in Ellsworth, ME

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
125 OAK ST, ELLSWORTH, ME 04605(207) 667-4237(207) 667-0390 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul K Albert O.d. NPPES

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

DR. PAUL K ALBERT O.D. (NPI 1255440467) is an individual optometrist in Ellsworth, Maine, licensed in Maine (OPT717) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1985).

NPPES Registry Identity

NPI1255440467
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL K ALBERTCredential: O.D.
Location Address125 OAK STEllsworth, ME 04605-1650
Mailing Address278 Bangor RdEllsworth, ME 04605-3259 · (207) 667-0757
Phone(207) 667-4237
Fax(207) 667-0390
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1985
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 17, 2008
✔ NPI 1255440467 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 ME · OPT717
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.

125 OAK ST, Ellsworth, ME 04605
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Other Identifiers 2

Medicare NSC0688250001ME
Medicare UPINT79472ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.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. Paul K Albert 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 ID8224123922
PECOS Enrollment IDI20070926000604
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.
395 services388 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.
91 services91 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.
55 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services17 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.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04605 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 3

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

MRS. MIRANDA BETH VALLOR PT
Physical Therapist
125 OAK ST, STE 2
ELLSWORTH, ME 04605
Hancock County (207) 667-0290
JEFFREY ISAIAH FRANCIS LMSW-CC
Social Worker (Clinical)
125 OAK ST
ELLSWORTH, ME 04605
Hancock County (207) 667-0909
BAY VIEW PHYSICAL THERAPY LIMITED PARTNERSHIP
Clinic/Center (Physical Therapy)
125 OAK ST, SUITE 2
ELLSWORTH, ME 04605
Hancock County (207) 667-0290

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 Paul Albert's NPI number?

The NPI number for Paul Albert is 1255440467. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Paul Albert located?

Paul Albert practices at 125 Oak St, Ellsworth, ME 04605. The listed phone number is (207) 667-4237.

What is Paul Albert's specialty?

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

Is Paul Albert enrolled in Medicare?

Yes. Paul Albert 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 Paul Albert accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Paul Albert 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 Paul Albert was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.