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KAITLYN ELIZABETH ZEMBOWER OD
NPI 1366123929
Optometrist in Everett, PA

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment
311 HOSPITAL DR, EVERETT, PA 15537(814) 623-1969 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Elizabeth Zembower Od NPPES

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

KAITLYN ELIZABETH ZEMBOWER OD (NPI 1366123929) is an individual optometrist in Everett, Pennsylvania, licensed in Pennsylvania (OEG004054) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2023).

NPPES Registry Identity

NPI1366123929
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAITLYN ELIZABETH ZEMBOWERCredential: OD
Location Address311 HOSPITAL DREverett, PA 15537-7022
Mailing Address311 Hospital DrEverett, PA 15537-7022 · (814) 623-1969
Phone(814) 623-1969
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2023
Enumeration DateJuly 27, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1366123929 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 · OEG004054
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.
311 HOSPITAL DR, Everett, PA 15537
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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 and accepts Medicare assignment

Kaitlyn Elizabeth Zembower 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 ID4183087976
PECOS Enrollment IDI20230827000019
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 7

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.

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.
59 services30 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.
57 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
43 services42 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).
34 services15 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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.

Other Providers at the Same Location NPPES 4

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

NANCY KENNEY
Internal Medicine (Geriatric Medicine)
311 HOSPITAL DR, SUITE 2
EVERETT, PA 15537
Bedford County (814) 623-7855
WILLIAM BLAINE SHUKE O.D.
Optometrist
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969
PENNWOOD OPHTHALMIC ASSOCIATES, PC
Ophthalmology
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969
MRS. KATHERINE CORMAN ERLICHMAN D.O.
Ophthalmology
311 HOSPITAL DR
EVERETT, PA 15537
Bedford County (814) 623-1969

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 Kaitlyn Zembower's NPI number?

The NPI number for Kaitlyn Zembower is 1366123929. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Kaitlyn Zembower located?

Kaitlyn Zembower practices at 311 Hospital Dr, Everett, PA 15537. The listed phone number is (814) 623-1969.

What is Kaitlyn Zembower's specialty?

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

Is Kaitlyn Zembower enrolled in Medicare?

Yes. Kaitlyn Zembower 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 Kaitlyn Zembower accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Kaitlyn Zembower 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 Kaitlyn Zembower was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.