DR. EMILY M EBELHAR OD
NPI 1598335259
Optometrist in Louisville, KY

Q: What is Emily Ebelhar's NPI number?

The NPI number for Emily Ebelhar is 1598335259. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Emily Ebelhar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Ebelhar was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2021PECOS EnrolledAccepts Medicare Assignment

75.88/100

CMS Quality Rating

1536 STORY AVE, LOUISVILLE, KY 40206(502) 589-1500(502) 589-1556 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2021, Jun 28, 2021, Jun 25, 2021 (3 updates tracked since 2021).

On this page

About Dr. Emily M Ebelhar Od NPPES

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

DR. EMILY M EBELHAR OD (NPI 1598335259) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2237DT) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2021).

NPPES Registry Identity

NPI1598335259

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. EMILY M EBELHARCredential: OD

Location Address1536 STORY AVELouisville, KY 40206-1738

Mailing Address1536 Story AveLouisville, KY 40206-1738 · (502) 589-1500 · Fax (502) 589-1556

Phone(502) 589-1500

Fax(502) 589-1556

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2021

Enumeration DateJune 25, 2021

Last NPPES UpdateDecember 16, 20213 updates tracked since enumeration

NPPES CertifiedAugust 2, 2021

✔ NPI 1598335259 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 KY · 2237DT

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.

1536 STORY AVE, Louisville, KY 40206

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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

Dr. Emily M Ebelhar Od 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 ID3870994486

PECOS Enrollment IDI20210701003693

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 Reassignment

Medicare enrollment records show Emily Ebelhar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina Associates, Psc

Same address

Ophthalmology

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
Louisville, KY 40206

Reassigned Medicare billing, Kentucky enrollment
10 clinicians in this Medicare group

NPI 1285639666 (502) 589-1500

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 7

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.

447 services331 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.

107 services107 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.

95 services82 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).

53 services46 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.

51 services45 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.

36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $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.

75.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

19.62

Other Providers at the Same Location NPPES 11

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

DR. BRENNAN P GREENE MD

Ophthalmology

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

DR. RENEE S MCENTIRE O.D.

Optometrist

1536 STORY AVE
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

DR. HAYLEY M WOODRUFF OD

Optometrist

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

CAROLINE ELIZABETH MAYER OD

Optometrist

1536 STORY AVE
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

RETINA ASSOCIATES, PSC

Ophthalmology

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

DR. SEAN F MURPHY MD

Ophthalmology

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

DR. JOHN CHARLES MEYER MD

Ophthalmology

1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

RETINA ASSOCIATES, PSC

Ophthalmology

1536 STORY AVE
LOUISVILLE, KY 40206

Jefferson County (502) 589-1500

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 Emily Ebelhar's NPI number?

The NPI number for Emily Ebelhar is 1598335259. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Emily Ebelhar located?

Emily Ebelhar practices at 1536 Story Ave, Louisville, KY 40206. The listed phone number is (502) 589-1500.

What is Emily Ebelhar's specialty?

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

Is Emily Ebelhar enrolled in Medicare?

Yes. Emily Ebelhar 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 organization bills Medicare for Emily Ebelhar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ebelhar reassigns Medicare benefits to Retina Associates, Psc (Louisville, KY). The 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 Emily Ebelhar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Ebelhar accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Emily Ebelhar 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 Emily Ebelhar was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.