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DR. ADRIA N PORTER OD
NPI 1265429641
Optometrist in Marion, KY

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
713 S MAIN ST, MARION, KY 42064(270) 965-5280(270) 965-9194 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adria N Porter Od NPPES

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

DR. ADRIA N PORTER OD (NPI 1265429641) is an individual optometrist in Marion, Kentucky, licensed in Kentucky (1619-DT) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marion, and is a graduate of University Alabama Birmingham - School Of Optometry (2004).

NPPES Registry Identity

NPI1265429641
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADRIA N PORTERCredential: OD
Location Address713 S MAIN STMarion, KY 42064-1807
Mailing AddressPo Box 37Providence, KY 42450-0037 · (270) 667-7017 · Fax (270) 667-9065
Phone(270) 965-5280
Fax(270) 965-9194
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2004
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMarch 2, 2018
✔ NPI 1265429641 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 KY · 1619-DT
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.
713 S MAIN ST, Marion, KY 42064
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Secondary Practice Location 1

Location 1713 S Main StMarion, KY 42064-1807 · Phone (270) 965-5280 · Fax (270) 965-9194

Other Identifiers 1

Medicaid77001212KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Adria N Porter 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 ID6608847280
PECOS Enrollment IDI20040805000833
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 3

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 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.
234 services220 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42064 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

MARION EYE CARE CENTER PLLC
Optometrist
713 S MAIN ST
MARION, KY 42064
Crittenden County (270) 965-5280

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 Adria Porter's NPI number?

The NPI number for Adria Porter is 1265429641. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Adria Porter located?

Adria Porter practices at 713 S Main St, Marion, KY 42064. The listed phone number is (270) 965-5280.

What is Adria Porter's specialty?

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

Is Adria Porter enrolled in Medicare?

Yes. Adria Porter 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 Adria Porter accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Adria Porter 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 Adria Porter was last updated on March 2, 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.