DR. ALISSA DIANE PEPELEA O.D.
NPI 1417122383
Optometrist in Murfreesboro, TN

Q: What is Alissa Pepelea's NPI number?

The NPI number for Alissa Pepelea is 1417122383. It was assigned to this individual provider in the NPPES registry on April 23, 2008. The provider is also known as Dr. Alissa Diane Jackson Od.

Q: What is Alissa Pepelea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alissa Pepelea was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment

125 JOHN R RICE BLVD, MURFREESBORO, TN 37129(615) 904-9460(615) 904-1924 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Alissa Diane Pepelea O.d. NPPES

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

DR. ALISSA DIANE PEPELEA O.D. (NPI 1417122383) is an individual optometrist in Murfreesboro, Tennessee, licensed in Tennessee (2866) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2000).

NPPES Registry Identity

NPI1417122383

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALISSA DIANE PEPELEACredential: O.D.

Location Address125 JOHN R RICE BLVDMurfreesboro, TN 37129-4165

Mailing Address231 Rockcastle DrMurfreesboro, TN 37128-2958 · (317) 289-3189

Phone(615) 904-9460

Fax(615) 904-1924

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2000

Enumeration DateApril 23, 2008

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1417122383 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 TN · 2866✔ Licensed in IN · 18003083A

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.

125 JOHN R RICE BLVD, Murfreesboro, TN 37129

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Other Names 1

Former Name (1)Dr. Alissa Diane Jackson Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alissa Diane Pepelea 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 ID8325079452

PECOS Enrollment IDI20130514000196

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.

Medicare Billing Reassignment

Medicare enrollment records show Alissa Pepelea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pepelea Family Eye Care PLLC

6.6 mi

Optometrist

125 JOHN R RICE BLVD
Murfreesboro, TN 37129

Reassigned Medicare billing, Tennessee enrollment
3 clinicians in this Medicare group

NPI 1114376977 (615) 904-9460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.

151 services146 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.

101 services101 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.

64 services37 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.

17 services16 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 8

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

PEPELEA FAMILY EYE CARE PLLC

Optometrist