DR. MARGARET K POULOS MD
NPI 1477546851
Ophthalmology in Orlando, FL

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
86.95/100
CMS Quality Rating
324 E PAR ST STE 200, ORLANDO, FL 32804(407) 843-2020(407) 649-9299 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Margaret K Poulos Md NPPES

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

DR. MARGARET K POULOS MD (NPI 1477546851) is an individual ophthalmology provider in Orlando, Florida, licensed in Florida (ME0070309) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kissimmee, and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1477546851
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARGARET K POULOSCredential: MD
Location Address324 E PAR ST STE 200Orlando, FL 32804-4004
Mailing Address324 E Par St Ste 200Orlando, FL 32804-4004 · (407) 843-2020 · Fax (407) 649-9299
Fax(407) 649-9299
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1990
Enumeration DateAugust 31, 2005
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
NPI 1477546851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME0070309
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
324 E PAR ST STE 200, Orlando, FL 32804

Secondary Practice Location 1

Location 1809 E Oak St Ste 202Kissimmee, FL 34744-5834 · Phone (407) 847-2020

Other Identifiers 1

Medicaid250088400FL

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. Margaret K Poulos Md 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 ID4587851449
PECOS Enrollment IDI20110107000871
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 14

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 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.
1,688 services1,503 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.
951 services680 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.
917 services805 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).
769 services756 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
519 services222 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
499 services477 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

86.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost56.51

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%133 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%1,915 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 3

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

Ophthalmology
324 E PAR ST STE 200
ORLANDO, FL 32804
Ophthalmology
324 E PAR ST STE 200
ORLANDO, FL 32804
Ophthalmology
324 E PAR ST STE 200
ORLANDO, FL 32804

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 Margaret Poulos's NPI number?

The NPI number for Margaret Poulos is 1477546851. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Margaret Poulos located?

Margaret Poulos practices at 324 E Par St Ste 200, Orlando, FL 32804. The listed phone number is (407) 843-2020.

What is Margaret Poulos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Margaret Poulos enrolled in Medicare?

Yes. Margaret Poulos 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 Margaret Poulos accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Providence Health Plan list Margaret Poulos 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 Margaret Poulos was last updated on October 27, 2022. 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.