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JOSEPH PAUL WINBERRY JR. OD
NPI 1336136464
Optometrist in Carlisle, PA

Active since October 04, 2005PECOS Enrolled
71.42/100
CMS Quality Rating
40 NOBLE BLVD, CARLISLE, PA 17013(717) 218-6656 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 27, 2017 (2 updates tracked since 2017).

About Joseph Paul Winberry Jr. Od NPPES

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

JOSEPH PAUL WINBERRY JR. OD (NPI 1336136464) is an individual optometrist in Carlisle, Pennsylvania, licensed in Pennsylvania (OET009052) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mechanicsburg.

NPPES Registry Identity

NPI1336136464
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSEPH PAUL WINBERRY JR.Credential: OD
Location Address40 NOBLE BLVDCarlisle, PA 17013-4122
Mailing Address6 Kacey Court, Suite 205Mechanicsburg, PA 17055 · (717) 591-1234 · Fax (717) 591-9112
Phone(717) 218-6656
Sole ProprietorYes
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1336136464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OET009052✔ Licensed in NJ · 270A00478900
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.
40 NOBLE BLVD, Carlisle, PA 17013
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Secondary Practice Location 1

Location 16 Kacey Court, Suite 205Mechanicsburg, PA 17055 · Phone (717) 591-1234 · Fax (717) 591-9112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Joseph Paul Winberry Jr. 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.

Areas of Expertise CMS Part B claims

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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17013 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Improvement Activities40
Cost20.23

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.

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC
Optometrist
40 NOBLE BLVD
CARLISLE, PA 17013
Cumberland County (717) 218-6656
ALLEGANY OPTICAL LLC
Optometrist
40 NOBLE BLVD, STE. 120
CARLISLE, PA 17013
Cumberland County (717) 218-6656

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 Joseph Winberry's NPI number?

The NPI number for Joseph Winberry is 1336136464. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Joseph Winberry located?

Joseph Winberry practices at 40 Noble Blvd, Carlisle, PA 17013. The listed phone number is (717) 218-6656.

What is Joseph Winberry's specialty?

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

Is Joseph Winberry enrolled in Medicare?

Yes. Joseph Winberry is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Winberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 2 other insurers list Joseph Winberry 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 Joseph Winberry was last updated on March 17, 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.