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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW ROUSE OD
NPI 1497499875
Optometrist in Miami, FL

Active since April 22, 2022PECOS Enrolled
81.31/100
CMS Quality Rating
900 NW 17TH ST, MIAMI, FL 33136(305) 326-6170 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Apr 22, 2022 (2 updates tracked since 2022).

About Dr. Andrew Rouse Od NPPES

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

DR. ANDREW ROUSE OD (NPI 1497499875) is an individual optometrist in Miami, Florida, licensed in Florida (OPC6115) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497499875
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW ROUSECredential: OD
Location Address900 NW 17TH STMiami, FL 33136-1134
Mailing AddressPo Box 84Hagaman, NY 12086-0084 · (518) 956-1733
Phone(305) 326-6170
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 22, 2022
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1497499875 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 FL · OPC6115
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.
900 NW 17TH ST, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Andrew Rouse 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 ID4183005515
PECOS Enrollment IDI20220718000925
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 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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
146 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.
21 services21 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 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.
13 services13 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

EFREM D MANDELCORN ND
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
DIEGO LUNA CRNA
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-6411
DR. ARINDEL STEFON RAVINDRA MAHARAJ M.D., PH.D
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
ZELIA MARIA CORREA MD, PHD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
JESSICA ADAMS OTR/L, CHT
Specialist
900 NW 17TH ST, RM 27
MIAMI, FL 33136
Miami-Dade County (305) 547-3703
TA CHEN PETER CHANG M.D.
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
MR. JULIO CESAR FIGUEROA APRN
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6523
MICHAEL CONRAD SCHNEIDER MD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4000

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 Andrew Rouse's NPI number?

The NPI number for Andrew Rouse is 1497499875. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Andrew Rouse located?

Andrew Rouse practices at 900 NW 17th St, Miami, FL 33136. The listed phone number is (305) 326-6170.

What is Andrew Rouse's specialty?

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

Is Andrew Rouse enrolled in Medicare?

Yes. Andrew Rouse 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 Andrew Rouse accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Andrew Rouse 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 Andrew Rouse was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.