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DR. ELLEN BLAIR VANDENBERG OD
NPI 1336631647
Optometrist in Cleveland, OH

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
10701 EAST BLVD, CLEVELAND, OH 44106(216) 791-3800 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Ellen Blair Vandenberg Od NPPES

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

DR. ELLEN BLAIR VANDENBERG OD (NPI 1336631647) is an individual optometrist in Cleveland, Ohio, licensed in Michigan (4901005363) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2018).

NPPES Registry Identity

NPI1336631647
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELLEN BLAIR VANDENBERGCredential: OD
Location Address10701 EAST BLVDCleveland, OH 44106-1702
Mailing AddressPo Box 304Lowell, OH 45744-0304 · (740) 516-4216
Phone(216) 791-3800
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2018
Enumeration DateJune 1, 2018
Last NPPES UpdateAugust 20, 2019
✔ NPI 1336631647 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 MI · 4901005363
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.
10701 EAST BLVD, Cleveland, OH 44106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana 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. Ellen Blair Vandenberg 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 ID547699985
PECOS Enrollment IDI20220629002617
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 10

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.
142 services141 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.
112 services106 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.
74 services56 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.
57 services57 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.
57 services50 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
36 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

MRS. RACHEL MICHELLE HERNANDEZ R.N.
Registered Nurse
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
MATTHEW BENICK
Recreation Therapist
10701 EAST BLVD, 5M-690E EUL
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
RONALD LEE DENNEY JR. CNP
Nurse Practitioner (Primary Care)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ANTHONY ROSSO MBA, RRT
Respiratory Therapist, Registered
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
SARA ELIZABETH LYNCH RN
Registered Nurse (Emergency)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ZOE ROBERS
Student in an Organized Health Care Education/Training Program
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
DR. SUSAN KIRSH MD
Internal Medicine
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 701-0519
DEBORAH KELLER-CATANIA NP
Nurse Practitioner (Adult Health)
10701 EAST BLVD, (W)111
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800

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 Ellen Vandenberg's NPI number?

The NPI number for Ellen Vandenberg is 1336631647. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Ellen Vandenberg located?

Ellen Vandenberg practices at 10701 East Blvd, Cleveland, OH 44106. The listed phone number is (216) 791-3800.

What is Ellen Vandenberg's specialty?

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

Is Ellen Vandenberg enrolled in Medicare?

Yes. Ellen Vandenberg 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 Ellen Vandenberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ellen Vandenberg 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 Ellen Vandenberg was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.