DR. CARL J. URBANSKI O.D.
NPI 1417955618
Optometrist in Kingston, PA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
390 PIERCE ST, KINGSTON, PA 18704(570) 714-2600(570) 714-9790 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl J. Urbanski O.d. NPPES

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

DR. CARL J. URBANSKI O.D. (NPI 1417955618) is an individual optometrist in Kingston, Pennsylvania, licensed in Pennsylvania (OEG000466) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1992).

NPPES Registry Identity

NPI1417955618
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARL J. URBANSKICredential: O.D.
Location Address390 PIERCE STKingston, PA 18704-5532
Mailing Address390 Pierce StKingston, PA 18704-5532 · (570) 714-2600 · Fax (570) 714-9790
Fax(570) 714-9790
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1992
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 30, 2011
NPI 1417955618 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 · OEG000466
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.
390 PIERCE ST, Kingston, PA 18704

Other Identifiers 4

Medicaid001294970006PA
Medicare NSC5836230001PA
Medicare PIN728921TWFPA
Medicare UPINU32841PA

Accepted 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. Carl J. Urbanski 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 ID2466405683
PECOS Enrollment IDI20050301000141
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 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.
195 services169 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.
165 services160 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
105 services96 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.
85 services78 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 services51 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.
49 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%204 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
57%1,921 patients3/55-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 17

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

Nurse Practitioner
390 PIERCE ST
KINGSTON, PA 18704
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Surgery
390 PIERCE ST
KINGSTON, PA 18704
Physician Assistant
390 PIERCE ST
KINGSTON, PA 18704
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Orthopaedic Surgery
390 PIERCE ST
KINGSTON, PA 18704
Optometrist
390 PIERCE ST
KINGSTON, PA 18704

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 Carl Urbanski's NPI number?

The NPI number for Carl Urbanski is 1417955618. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Carl Urbanski located?

Carl Urbanski practices at 390 Pierce St, Kingston, PA 18704. The listed phone number is (570) 714-2600.

What is Carl Urbanski's specialty?

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

Is Carl Urbanski enrolled in Medicare?

Yes. Carl Urbanski 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 Carl Urbanski accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Carl Urbanski 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 Carl Urbanski was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.