BREANNA ROSELLA HULTON
NPI 1528993573
Optometrist in Philadelphia, PA

Q: What is Breanna Hulton's NPI number?

The NPI number for Breanna Hulton is 1528993573. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Q: What is Breanna Hulton'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 Breanna Hulton was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 12, 2026PECOS Enrolled

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Breanna Rosella Hulton NPPES

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

BREANNA ROSELLA HULTON (NPI 1528993573) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG004375) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2026).

NPPES Registry Identity

NPI1528993573

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameBREANNA ROSELLA HULTON

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000 · Fax (215) 276-1329

Phone(215) 276-6000

Fax(215) 276-1329

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2026

Enumeration DateJune 12, 2026

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1528993573 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 · OEG004375

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.

1200 W GODFREY AVE, Philadelphia, PA 19141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Rosella Hulton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385104926

PECOS Enrollment IDI20260903000234

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

Drexel University

Same address

Optometrist

1200 W GODFREY AVE
Philadelphia, PA 19141

Reassigned Medicare billing, Pennsylvania enrollment
335 clinicians in this Medicare group

NPI 1336160027 (215) 276-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

DANIEL HOFFMAN O.D

Optometrist