DON G KOEPSELL MD PHD
NPI 1548374572
Ophthalmology in Valley Forge, PA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1220 VALLEY FORGE RD, SUITE 39, VALLEY FORGE, PA 19482(610) 935-1211(610) 935-2355 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Don G Koepsell Md Phd NPPES

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

DON G KOEPSELL MD PHD (NPI 1548374572) is an individual ophthalmology provider in Valley Forge, Pennsylvania, licensed in Pennsylvania (MD024428E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Phoenixville Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1978).

NPPES Registry Identity

NPI1548374572
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDON G KOEPSELLCredential: MD PHD
Location Address1220 VALLEY FORGE RD, SUITE 39Valley Forge, PA 19482-0608
Mailing Address1220 Valley Forge Rd Suite 39, Po Box 608Valley Forge, PA 19482-0608 · (610) 935-1211 · Fax (610) 935-2355
Fax(610) 935-2355
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1978
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 14, 2008
NPI 1548374572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD024428E
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.
1220 VALLEY FORGE RD, Valley Forge, PA 19482

Other Identifiers 6

Other0053163000Independence Blue Cross
Medicare UPINB36491
Medicaid0008690260003PA
Other000103038Blue Shield
Medicare PIN103038
Medicare PIN180007899

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

Don G Koepsell Md Phd 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 ID446427314
PECOS Enrollment IDI20120117000466
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 17

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.
711 services464 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.
369 services289 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.
339 services256 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
335 services275 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
173 services131 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.
130 services119 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19482 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.

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
Individually scored

Other Providers at the Same Location NPPES

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

Specialist
1220 VALLEY FORGE RD, SUITE 18
VALLEY FORGE, PA 19482

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 Don Koepsell's NPI number?

The NPI number for Don Koepsell is 1548374572. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Don Koepsell located?

Don Koepsell practices at 1220 Valley Forge Rd Suite 39, Valley Forge, PA 19482. The listed phone number is (610) 935-1211.

What is Don Koepsell's specialty?

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

Is Don Koepsell enrolled in Medicare?

Yes. Don Koepsell 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.

Is Don Koepsell affiliated with any hospitals?

According to CMS data, Don Koepsell is affiliated with Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Don Koepsell was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.