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ALEX JON UHLENHOPP
NPI 1578055521
Optometrist in Mason City, IA

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
85.66/100
CMS Quality Rating
422 S PIERCE AVE STE 1, MASON CITY, IA 50401(641) 424-0780(641) 424-2345 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alex Jon Uhlenhopp NPPES

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

ALEX JON UHLENHOPP (NPI 1578055521) is an individual optometrist in Mason City, Iowa, licensed in Iowa (091904) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Mills, and is a graduate of Illinois College Of Optometry At Chicago (2018).

NPPES Registry Identity

NPI1578055521
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameALEX JON UHLENHOPP
Location Address422 S PIERCE AVE STE 1Mason City, IA 50401
Mailing Address422 S Pierce Ave Ste 1Mason City, IA 50401-2709 · (641) 424-0780 · Fax (641) 424-2345
Phone(641) 424-0780
Fax(641) 424-2345
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2018
Enumeration DateJune 5, 2018
Last NPPES UpdateJune 18, 2018
✔ NPI 1578055521 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 IA · 091904
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.
422 S PIERCE AVE STE 1, Mason City, IA 50401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1213 W Main StLake Mills, IA 50450-1445 · Phone (641) 592-1801

Accepted Insurance

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

Alex Jon Uhlenhopp 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 ID8426304973
PECOS Enrollment IDI20190925001629
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 Reassignments

2

Medicare enrollment records show Alex Uhlenhopp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyesite-Illinois Valley, LLC
241 mi
Optometrist
215 RICHARD A MAUTINO DR
Spring Valley, IL 61362
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Eyesite-Illinois Valley, L.L.C.
  • 5 clinicians in this Medicare group
NPI 1477614329 (815) 664-5331
Provider Profile
275 mi
Optometrist
113 E JEFFERSON ST
Morris, IL 60450
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1720094287 (815) 942-1951

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 9

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 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.
203 services182 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.
155 services145 patients
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.
151 services150 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.
135 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services63 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).
65 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

85.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.32
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
98%243 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
74%50 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,761 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%69 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%684 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.

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 Alex Uhlenhopp's NPI number?

The NPI number for Alex Uhlenhopp is 1578055521. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Alex Uhlenhopp located?

Alex Uhlenhopp practices at 422 S Pierce Ave Ste 1, Mason City, IA 50401. The listed phone number is (641) 424-0780.

What is Alex Uhlenhopp's specialty?

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

Is Alex Uhlenhopp enrolled in Medicare?

Yes. Alex Uhlenhopp 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 organizations bill Medicare for Alex Uhlenhopp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Uhlenhopp reassigns Medicare benefits to 2 organizations: Eyesite-Illinois Valley, LLC (Spring Valley, IL) and (Morris, IL). Each 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 Alex Uhlenhopp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Uhlenhopp accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Alex Uhlenhopp 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 Alex Uhlenhopp was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.