DR. MARION J HALIGOWSKI III OD
NPI 1508978941
Optometrist in Lebanon, PA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
80.78/100
CMS Quality Rating
770 NORMAN DR, LEBANON, PA 17042(717) 272-2161(717) 270-0301 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2020, Mar 26, 2020 (2 updates tracked since 2020).

About Dr. Marion J Haligowski Iii Od NPPES

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

DR. MARION J HALIGOWSKI III OD (NPI 1508978941) is an individual optometrist in Lebanon, Pennsylvania, licensed in Pennsylvania (OEG-001196) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wyomissing, and is a graduate of Pennsylvania College Of Optometry (2002).

NPPES Registry Identity

NPI1508978941
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARION J HALIGOWSKI IIICredential: OD
Location Address770 NORMAN DRLebanon, PA 17042-7495
Mailing Address1 Granite Point Dr Ste 100Wyomissing, PA 19610-1992 · (610) 378-1344 · Fax (610) 378-5169
Fax(717) 270-0301
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2002
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1508978941 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 · OEG-001196
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.
770 NORMAN DR, Lebanon, PA 17042

Secondary Practice Location 1

Location 11 Granite Point Dr Ste 100Wyomissing, PA 19610-1992 · Phone (610) 378-1344 · Fax (610) 378-5169

Other Identifiers 1

Medicaid100888525PA

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. Marion J Haligowski Iii 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 ID1951204320
PECOS Enrollment IDI20040202000253
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 10

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 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.
383 services380 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.
137 services132 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).
103 services99 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.
102 services81 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
87 services84 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.
84 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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.

80.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.29
Promoting Interoperability86
Improvement Activities40
Cost49.32

Referred Medical Equipment & Supplies CMS DME claims

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 supplier14 claims14 services$52.04 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 3

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

Ophthalmology
770 NORMAN DR
LEBANON, PA 17042
Optometrist
770 NORMAN DR
LEBANON, PA 17042
Optometrist
770 NORMAN DR
LEBANON, PA 17042

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 Marion Haligowski's NPI number?

The NPI number for Marion Haligowski is 1508978941. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Marion Haligowski located?

Marion Haligowski practices at 770 Norman Dr, Lebanon, PA 17042. The listed phone number is (717) 272-2161.

What is Marion Haligowski's specialty?

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

Is Marion Haligowski enrolled in Medicare?

Yes. Marion Haligowski 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 Marion Haligowski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Marion Haligowski 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 Marion Haligowski was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.