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KATHLEEN NICOLE RUPP MD
NPI 1548355522
Ophthalmology in Mechanicsburg, PA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
87.73/100
CMS Quality Rating
3 BADEN POWELL LN, SUITE 4, MECHANICSBURG, PA 17050(717) 766-1566(717) 766-2604 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Nicole Rupp Md NPPES

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

KATHLEEN NICOLE RUPP MD (NPI 1548355522) is an individual ophthalmology provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (BH7491614) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1548355522
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKATHLEEN NICOLE RUPPCredential: MD
Location Address3 BADEN POWELL LN, SUITE 4Mechanicsburg, PA 17050-5270
Mailing Address3 Baden Powell Ln, Suite 4Mechanicsburg, PA 17050-5270 · (717) 766-1566 · Fax (717) 766-2604
Phone(717) 766-1566
Fax(717) 766-2604
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 16, 2013
✔ NPI 1548355522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · BH7491614
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3 BADEN POWELL LN, Mechanicsburg, PA 17050
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Other Identifiers 3

Medicare ID-Type Unspecified023381PA
Medicaid1008425800001PA
Medicare UPINH55852

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

Kathleen Nicole Rupp Md 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 ID2163697368
PECOS Enrollment IDI20111216000697
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 11

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.
620 services528 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
365 services185 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.
254 services223 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.
110 services103 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).
101 services96 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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.

87.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost59.12

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%35 patients
Diabetes: Eye Exam
100%212 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 557 patients
Patients screened: 100% · 557 patients
96%24 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%138 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,178 patients
Patients totalRate: 0% · 1,178 patients
0%1,178 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

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

HARTZELL RUPP OPHTHALMOLOGY P.C.
Ophthalmology
3 BADEN POWELL LN, SUITE 4
MECHANICSBURG, PA 17050
Cumberland County (717) 766-1566

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 Kathleen Rupp's NPI number?

The NPI number for Kathleen Rupp is 1548355522. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kathleen Rupp located?

Kathleen Rupp practices at 3 Baden Powell Ln Suite 4, Mechanicsburg, PA 17050. The listed phone number is (717) 766-1566.

What is Kathleen Rupp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kathleen Rupp enrolled in Medicare?

Yes. Kathleen Rupp 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.

When was this NPI record last updated?

The NPPES record for Kathleen Rupp was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.