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SCOTT A UNGER OD
NPI 1528048618
Optometrist in Kokomo, IN

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2705 S BERKLEY RD, KOKOMO, IN 46902(765) 453-2200(765) 453-1768 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott A Unger Od NPPES

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

SCOTT A UNGER OD (NPI 1528048618) is an individual optometrist in Kokomo, Indiana, licensed in Indiana (18003395A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1528048618
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT A UNGERCredential: OD
Location Address2705 S BERKLEY RDKokomo, IN 46902
Mailing Address2705 S Berkley RdKokomo, IN 46902-8025 · (765) 453-2200 · Fax (765) 453-1768
Phone(765) 453-2200
Fax(765) 453-1768
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004
Enumeration DateJanuary 17, 2006
Last NPPES UpdateAugust 15, 2018
✔ NPI 1528048618 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 IN · 18003395A
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.
2705 S BERKLEY RD, Kokomo, IN 46902
Open in Google Maps ↗

Other Identifiers 2

Medicaid2517619OH
Medicaid200818490IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Scott A Unger 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 ID7214994037
PECOS Enrollment IDI20060614000230
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 12

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.
311 services232 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.
246 services185 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
220 services216 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.
199 services198 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
175 services48 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
164 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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%66 patients5/55-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 10

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

MIDWEST EYE CONSULTANTS, P.C.
Optometrist
2705 S BERKLEY RD
KOKOMO, IN 46902
Howard County (765) 453-2200
DR. BENJAMIN R. STOUT D.C., F.I.A.M.A.
Chiropractor
2705 S BERKLEY RD, SUITE #1-B
KOKOMO, IN 46902
Howard County (765) 455-2014
JAMES T WOLFE, DDS, MSD, PC
Dentist (Periodontics)
2705 S BERKLEY RD, SUITE 4A
KOKOMO, IN 46902
Howard County (765) 453-2619
KOKOMO ORAL AND MAXILLOFACIAL SURGERY P.C.
Clinic/Center (Oral and Maxillofacial Surgery)
2705 S BERKLEY RD, SUITE 4D
KOKOMO, IN 46902
Howard County (765) 453-5444
STEVEN J SEELE DC PC
Chiropractor
2705 S BERKLEY RD, SUITE 1B
KOKOMO, IN 46902
Howard County (765) 455-2361
DR. RONALD A. THOMPSON JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2705 S BERKLEY RD, SUITE 4D
KOKOMO, IN 46902
Howard County (765) 453-5444
DR. MELISSA A. STOUT D.C., F.I.A.M.A.
Chiropractor
2705 S BERKLEY RD, SUITE #1-B
KOKOMO, IN 46902
Howard County (765) 455-2014
STOUT CHIROPRACTIC, P.C.
Chiropractor
2705 S BERKLEY RD, SUITE #1-B
KOKOMO, IN 46902
Howard County (765) 455-2014

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 Scott Unger's NPI number?

The NPI number for Scott Unger is 1528048618. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Scott Unger located?

Scott Unger practices at 2705 S Berkley Rd, Kokomo, IN 46902. The listed phone number is (765) 453-2200.

What is Scott Unger's specialty?

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

Is Scott Unger enrolled in Medicare?

Yes. Scott Unger 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 Scott Unger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Scott Unger 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 Scott Unger was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.