ELIZABETH YUSUPOV O.D.
NPI 1437502911
Optometrist in Bronx, NY

Q: What is Elizabeth Yusupov's NPI number?

The NPI number for Elizabeth Yusupov is 1437502911. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Elizabeth Yusupov'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 Elizabeth Yusupov was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 19, 2016PECOS Enrolled

81.36/100

CMS Quality Rating

3130 GRAND CONCOURSE, STE 1J, BRONX, NY 10458(718) 741-3200 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Elizabeth Yusupov O.d. NPPES

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

ELIZABETH YUSUPOV O.D. (NPI 1437502911) is an individual optometrist in Bronx, New York, licensed in New York (TUV008499) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437502911

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameELIZABETH YUSUPOVCredential: O.D.

Location Address3130 GRAND CONCOURSE, STE 1JBronx, NY 10458-1213

Mailing Address6360 102nd St, Apt E7Rego Park, NY 11374-2451

Phone(718) 741-3200

Sole ProprietorYes

Enumeration DateJuly 19, 2016

✔ NPI 1437502911 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 NY · TUV008499

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.

3130 GRAND CONCOURSE, Bronx, NY 10458

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Yusupov O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Elizabeth Yusupov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

20 20 Optometry Services, PC

11 mi

Optometrist

6240 FOREST AVE
Ridgewood, NY 11385

Reassigned Medicare billing, New York enrollment

NPI 1063933430 (718) 418-0300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10458 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

81.36/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

34.13

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.

CONCOURSE CARDIOLOGY ASSOCIATES, P.C.

Internal Medicine (Cardiovascular Disease)

3130 GRAND CONCOURSE, SUITE 1G
BRONX, NY 10458

Bronx County (718) 733-5299

EMILY SHTULL OD

Optometrist

3130 GRAND CONCOURSE
BRONX, NY 10458

Bronx County (718) 741-3200

EHMETH MEDICAL SERVICES, PC

Internal Medicine

3130 GRAND CONCOURSE, SUITE B5
BRONX, NY 10458

Bronx County (718) 364-3322

DR. WALTER E BIMSTON DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

3130 GRAND CONCOURSE, 1F
BRONX, NY 10458

Bronx County (718) 295-3232

GRACE CHIYU TO OD

Optometrist

3130 GRAND CONCOURSE
BRONX, NY 10458

Bronx County (718) 749-3200

DR. EDWARD JOSEPH PELOSO DDS

Dentist (General Practice)

3130 GRAND CONCOURSE, APT #1M
BRONX, NY 10458

Bronx County (718) 364-7888

MARK FROMER, MD PC

Ophthalmology

3130 GRAND CONCOURSE, SUITE 1J
BRONX, NY 10458

Bronx County (718) 741-3200

SCHUMAN CHEN OD

Optometrist

3130 GRAND CONCOURSE
BRONX, NY 10458

Bronx County (718) 741-3200

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 Elizabeth Yusupov's NPI number?

The NPI number for Elizabeth Yusupov is 1437502911. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Elizabeth Yusupov located?

Elizabeth Yusupov practices at 3130 Grand Concourse Ste 1J, Bronx, NY 10458. The listed phone number is (718) 741-3200.

What is Elizabeth Yusupov's specialty?

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

Is Elizabeth Yusupov enrolled in Medicare?

Yes. Elizabeth Yusupov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Yusupov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Yusupov reassigns Medicare benefits to 20 20 Optometry Services, PC (Ridgewood, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Yusupov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Yusupov accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Yusupov 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 Elizabeth Yusupov was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.