ALEXANDRA LEE OSZUSTOWICZ OD
NPI 1336662295
Optometrist in Philadelphia, PA

Q: What is Alexandra Oszustowicz's NPI number?

The NPI number for Alexandra Oszustowicz is 1336662295. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Q: What is Alexandra Oszustowicz's specialty?

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

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment

91.07/100

CMS Quality Rating

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 24, 2017 (2 updates tracked since 2017).

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About Alexandra Lee Oszustowicz Od NPPES

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

ALEXANDRA LEE OSZUSTOWICZ OD (NPI 1336662295) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003321) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2017).

NPPES Registry Identity

NPI1336662295

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALEXANDRA LEE OSZUSTOWICZCredential: OD

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329

Phone(215) 276-6000

Fax(215) 276-1329

Sole ProprietorYes

Medical School CMSPennsylvania College Of OptometryGraduated 2017

Enumeration DateJuly 24, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1336662295 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 PA · OEG003321

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.

1200 W GODFREY AVE, Philadelphia, PA 19141

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Secondary Practice Locations 2

Location 17630 Germantown Ave Ste 4Philadelphia, PA 19118-3529 · Phone (215) 276-6000 · Fax (215) 276-1329

Location 23300 Henry Ave Ste 104Philadelphia, PA 19129-1121 · Phone (215) 276-6000 · Fax (215) 276-1329

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Alexandra Lee Oszustowicz 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 ID4183996077

PECOS Enrollment IDI20170828003513

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 9

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.

181 services152 patients

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.

160 services160 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

119 services107 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.

116 services108 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

57 services56 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

32 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

91.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.11

Improvement Activities

Cost

79.43

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.

DANIEL HOFFMAN O.D

Optometrist