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KENNETH ALAN ROUSSELO OD PC
NPI 1578530879
Optometrist in Cary, NC

Active since March 06, 2006PECOS EnrolledAccepts Medicare Assignment
258 TOWNE VILLAGE DR, CARY, NC 27513(919) 467-4657(919) 462-0199 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kenneth Alan Rousselo Od Pc NPPES

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

KENNETH ALAN ROUSSELO OD PC (NPI 1578530879) is an individual optometrist in Cary, North Carolina, licensed in North Carolina (1466) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1578530879
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH ALAN ROUSSELOCredential: OD PC
Location Address258 TOWNE VILLAGE DRCary, NC 27513-8910
Mailing Address258 Towne Village DrCary, NC 27513-8910 · (919) 467-4657 · Fax (919) 462-0199
Phone(919) 467-4657
Fax(919) 462-0199
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 6, 2006
Last NPPES UpdateMarch 15, 2016
✔ NPI 1578530879 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 NC · 1466
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.
258 TOWNE VILLAGE DR, Cary, NC 27513
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Other Identifiers 2

Medicare PIN2468538FNC
Medicare UPINU42453

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 NC, Blue Cross and Blue Shield of Oklahoma 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

Kenneth Alan Rousselo Od Pc 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 ID4688709470
PECOS Enrollment IDI20100318000496
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.

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.
109 services108 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.
34 services34 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27513 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 2

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

PRESTON OPTOMETRY CENTER, PA
Optometrist
258 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 467-4657
HEALTHSOURCE OF CARY, PLLC
Chiropractor
258 TOWNE VILLAGE DR
CARY, NC 27513
Wake County (919) 650-2447

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 Kenneth Rousselo's NPI number?

The NPI number for Kenneth Rousselo is 1578530879. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is Kenneth Rousselo located?

Kenneth Rousselo practices at 258 Towne Village Dr, Cary, NC 27513. The listed phone number is (919) 467-4657.

What is Kenneth Rousselo's specialty?

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

Is Kenneth Rousselo enrolled in Medicare?

Yes. Kenneth Rousselo 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 Kenneth Rousselo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Kenneth Rousselo 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 Kenneth Rousselo was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.