MELISSA PLOWMAKER CARRASCO OD
NPI 1487748992
Optometrist in Ephrata, PA

Q: What is Melissa Carrasco's NPI number?

The NPI number for Melissa Carrasco is 1487748992. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Dr. Melissa K Plowmaker Od.

Q: What is Melissa Carrasco'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 Melissa Carrasco was last updated on August 17, 2023. 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

890 E MAIN ST, EPHRATA, PA 17522(717) 721-6686(717) 738-7735 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Melissa Plowmaker Carrasco Od NPPES

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

MELISSA PLOWMAKER CARRASCO OD (NPI 1487748992) is an individual optometrist in Ephrata, Pennsylvania, licensed in Pennsylvania (OEG000544) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1996).

NPPES Registry Identity

NPI1487748992

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMELISSA PLOWMAKER CARRASCOCredential: OD

Location Address890 E MAIN STEphrata, PA 17522-2562

Mailing Address890 E Main StEphrata, PA 17522-2562 · (717) 721-6686 · Fax (717) 738-7735

Phone(717) 721-6686

Fax(717) 738-7735

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 1996

Enumeration DateOctober 2, 2006

Last NPPES UpdateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1487748992 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 · OEG000544

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.

890 E MAIN ST, Ephrata, PA 17522

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Other Names 1

Professional Name (2)Dr. Melissa K Plowmaker Od

Other Identifiers 1

Medicaid0017436550001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee.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

Melissa Plowmaker Carrasco Od 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 ID4183804222

PECOS Enrollment IDI20110208000182

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

Melissa K Plowmaker,od PC

2.4 mi

Optometrist

890 E MAIN ST
Ephrata, PA 17522

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1356657829 (717) 721-6686

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 9

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.

160 services131 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.

86 services86 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 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).

33 services28 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.

24 services24 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.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier12 claims12 services$45.35 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier12 claims21 services$20.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

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