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DR. GREGORY BRENT HAGEDORN OD
NPI 1316905169
Optometrist in Henderson, KY

Active since May 02, 2006PECOS Enrolled
1413 N ELM ST, SUITE 102, HENDERSON, KY 42420(270) 826-1500(270) 827-0757 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregory Brent Hagedorn Od NPPES

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

DR. GREGORY BRENT HAGEDORN OD (NPI 1316905169) is an individual optometrist in Henderson, Kentucky, licensed in Kentucky (1016DT) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316905169
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GREGORY BRENT HAGEDORNCredential: OD
Location Address1413 N ELM ST, SUITE 102Henderson, KY 42420-2768
Mailing AddressPo Box 577Henderson, KY 42419-0577 · (270) 826-1500 · Fax (270) 827-0757
Phone(270) 826-1500
Fax(270) 827-0757
Sole ProprietorYes
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 22, 2014
✔ NPI 1316905169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1016DT
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1016DT (KY)
1413 N ELM ST, Henderson, KY 42420
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Other Identifiers 4

Medicare NSC0425620001KY
Medicare PIN9249401KY
Medicaid77010163KY
Medicare UPINT54728KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Brent Hagedorn Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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 18

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

RICARDO BARRIOS MADDELA MD
Surgery
1413 N ELM ST, SUITE 206
HENDERSON, KY 42420
Henderson County (270) 826-9595
DR. GREGORY B. HAGEDORN, OD
Eyewear Supplier
1413 N ELM ST, SUITE 102
HENDERSON, KY 42420
Henderson County (270) 826-1500
DR. MICHAEL V FARINA PH.D.
Psychologist
1413 N ELM ST, SUITE 205
HENDERSON, KY 42420
Henderson County (270) 827-5469
METHODIST HEALTH, INC.
Surgery
1413 N ELM ST, SUITE 204
HENDERSON, KY 42420
Henderson County (270) 830-9973
PAMELA RALEIGH LCSW
Social Worker (Clinical)
1413 N ELM ST, STE 205
HENDERSON, KY 42420
Henderson County (270) 827-5469
ALAN MATTHEW TRIPP D.O.
Surgery
1413 N ELM ST, SUITE 204
HENDERSON, KY 42420
Henderson County (270) 830-9973
RICARDO B MADDELA MD PSC
Surgery
1413 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-9595
HENDERSON LAB AND XRAY
Clinic/Center (Radiology)
1413 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 826-6277

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 Gregory Hagedorn's NPI number?

The NPI number for Gregory Hagedorn is 1316905169. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Gregory Hagedorn located?

Gregory Hagedorn practices at 1413 N Elm St Suite 102, Henderson, KY 42420. The listed phone number is (270) 826-1500.

What is Gregory Hagedorn's specialty?

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

Is Gregory Hagedorn enrolled in Medicare?

Yes. Gregory Hagedorn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Hagedorn was last updated on July 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.