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BETHANY M LEWALLEN O.D
NPI 1366416026
Optometrist in Dover, DE

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
820 WALKER RD, DOVER, DE 19904(302) 678-3545(302) 734-3115 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany M Lewallen O.d NPPES

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

BETHANY M LEWALLEN O.D (NPI 1366416026) is an individual optometrist in Dover, Delaware, licensed in Delaware (I3-0001251) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1995).

NPPES Registry Identity

NPI1366416026
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBETHANY M LEWALLENCredential: O.D
Location Address820 WALKER RDDover, DE 19904
Mailing Address820 Walker Rd, Vision Quest Eye Care Center IncDover, DE 19904 · (302) 678-3545 · Fax (302) 734-3115
Phone(302) 678-3545
Fax(302) 734-3115
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1995
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMay 3, 2017
✔ NPI 1366416026 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 DE · I3-0001251
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.
820 WALKER RD, Dover, DE 19904
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Other Identifiers 6

Medicare PIN004856H16DE
OtherG00016Medicare Group Pin
Other161525705DE · Bcbsde
Medicaid000989322DE
Medicare UPINU57461DE
Other1245251313Group Practice Npi

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

Bethany M Lewallen O.d 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 ID6608048681
PECOS Enrollment IDI20111018000068
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 11

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.
434 services432 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.
279 services234 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.
217 services165 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).
152 services136 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.
146 services138 patients
Measurement of corneal pressure 92145
Measurement of corneal pressure, also known as tonometry, is a simple, painless procedure that checks the pressure inside your eye. It's important for detecting conditions like glaucoma. A device gently touches your eye to take the reading, which is usually quick and doesn't cause discomfort.
140 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%106 patients
Provide Patients Electronic Access to Their Health Information
100%2,397 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

ARKADY YATSKEVICH OD
Optometrist
820 WALKER RD
DOVER, DE 19904
Kent County (302) 678-3545
VISION QUEST EYE CARE CENTER INC
Optometrist
820 WALKER RD, SUITE C
DOVER, DE 19904
Kent County (302) 678-3545
DOVER FAMILY CHIROPRACTIC
Chiropractor
820 WALKER RD, SUITE A
DOVER, DE 19904
Kent County (302) 677-1900

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 Bethany Lewallen's NPI number?

The NPI number for Bethany Lewallen is 1366416026. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Bethany Lewallen located?

Bethany Lewallen practices at 820 Walker Rd, Dover, DE 19904. The listed phone number is (302) 678-3545.

What is Bethany Lewallen's specialty?

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

Is Bethany Lewallen enrolled in Medicare?

Yes. Bethany Lewallen 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 Bethany Lewallen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Bethany Lewallen 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 Bethany Lewallen was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.