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DR. ERIC TODD ROUSH O.D.
NPI 1528083524
Optometrist in Westbrook, ME

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
151 MAIN ST, WESTBROOK, ME 04092(207) 854-1801(207) 854-0260 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Eric Todd Roush O.d. NPPES

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

DR. ERIC TODD ROUSH O.D. (NPI 1528083524) is an individual optometrist in Westbrook, Maine, licensed in Maine (OPT881) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1528083524
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERIC TODD ROUSHCredential: O.D.
Location Address151 MAIN STWestbrook, ME 04092-4808
Mailing Address151 Main StWestbrook, ME 04092-4808 · (207) 854-1801 · Fax (207) 854-0260
Phone(207) 854-1801
Fax(207) 854-0260
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 23, 2009
✔ NPI 1528083524 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 ME · OPT881
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.
151 MAIN ST, Westbrook, ME 04092
Open in Google Maps ↗

Other Identifiers 6

Other0468580001ME · Medicare Dmepos
Other048954ME · Anthem
Medicaid432734099ME
Medicare UPINU93908IN
OtherAA100857ME · Harvard Pilgrim
Medicare PIN000349801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Eric Todd Roush O.d. 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 ID4880663830
PECOS Enrollment IDI20071211000522
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 Eric Roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Care & Eye Wear Center Of Maine
Same address
Optometrist
151 MAIN ST
Westbrook, ME 04092
  • Reassigned Medicare billing, Maine enrollment
  • 2 clinicians in this Medicare group
NPI 1992835961 (207) 854-1801

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 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.

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.
230 services225 patients
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.
208 services123 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.
198 services198 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
127 services98 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
118 services94 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.
72 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04092 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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%36 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%275 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%1,432 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%1,432 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,432 patients1/55-star benchmark: 59%
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.

DR. DOUGLAS KENT GAUVREAU O.D.
Optometrist (Corneal and Contact Management)
151 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 854-1801
JENNIFER L HAVERKAMP OD
Optometrist
151 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 854-1801
EYE CARE & EYE WEAR CENTER OF MAINE
Optometrist
151 MAIN ST
WESTBROOK, ME 04092
Cumberland County (207) 854-1801

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 Eric Roush's NPI number?

The NPI number for Eric Roush is 1528083524. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Eric Roush located?

Eric Roush practices at 151 Main St, Westbrook, ME 04092. The listed phone number is (207) 854-1801.

What is Eric Roush's specialty?

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

Is Eric Roush enrolled in Medicare?

Yes. Eric Roush 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.

Which organization bills Medicare for Eric Roush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Roush reassigns Medicare benefits to Eye Care & Eye Wear Center Of Maine (Westbrook, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Roush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Roush accept?

Health plans from Anthem Blue Cross and Blue Shield list Eric Roush 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 Eric Roush was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.