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RYAN CAPOUCH O.D.
NPI 1538650726
Optometrist in Fargo, ND

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
5120 PROSPERITY WAY S STE 114, FARGO, ND 58104(701) 404-9096(701) 436-9223 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2021, Apr 9, 2020, May 23, 2018 (3 updates tracked since 2018).

About Ryan Capouch O.d. NPPES

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

RYAN CAPOUCH O.D. (NPI 1538650726) is an individual optometrist in Fargo, North Dakota, licensed in North Dakota (PENDING) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538650726
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRYAN CAPOUCHCredential: O.D.
Location Address5120 PROSPERITY WAY S STE 114Fargo, ND 58104-7568
Mailing Address5120 Prosperity Way S Ste 114Fargo, ND 58104-7568 · (701) 404-9096 · Fax (701) 436-9223
Phone(701) 404-9096
Fax(701) 436-9223
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 23, 2018
Last NPPES UpdateJune 2, 20213 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1538650726 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 ND · PENDING
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.
5120 PROSPERITY WAY S STE 114, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan 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

Ryan Capouch 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 ID3779830351
PECOS Enrollment IDI20180727002694
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 3

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
32 services18 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.
31 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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

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

LUMEN VISION PC
Optometrist
5120 PROSPERITY WAY S STE 114
FARGO, ND 58104
Cass County (701) 404-9096

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 Ryan Capouch's NPI number?

The NPI number for Ryan Capouch is 1538650726. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Ryan Capouch located?

Ryan Capouch practices at 5120 Prosperity Way S Ste 114, Fargo, ND 58104. The listed phone number is (701) 404-9096.

What is Ryan Capouch's specialty?

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

Is Ryan Capouch enrolled in Medicare?

Yes. Ryan Capouch 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 Ryan Capouch accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan and Sanford Health Plan list Ryan Capouch 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 Ryan Capouch was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.