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DR. HELEN L HOOPER OD
NPI 1619031853
Optometrist in Westminster, MD

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
86.66/100
CMS Quality Rating
5 CARROLL PLZ, WESTMINSTER, MD 21157(410) 876-1761 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Helen L Hooper Od NPPES

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

DR. HELEN L HOOPER OD (NPI 1619031853) is an individual optometrist in Westminster, Maryland, licensed in Maryland (MDTA0818) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1981).

NPPES Registry Identity

NPI1619031853
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HELEN L HOOPERCredential: OD
Location Address5 CARROLL PLZWestminster, MD 21157-4601
Mailing Address7840 Milkshed PlElkridge, MD 21075-6130 · (410) 796-5516
Phone(410) 876-1761
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1981
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1619031853 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 MD · MDTA0818
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.
5 CARROLL PLZ, Westminster, MD 21157
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Other Identifiers 6

Medicare ID-Type Unspecified136NMD
Other813872MD · Aetna
Other04546MD · Maimsi, Mdipa, Oci
Other210179MD · Nva
OtherXY64MD · Bcbs
Medicare UPINT59958MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.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

Dr. Helen L Hooper 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 ID648226464
PECOS Enrollment IDI20050324000780
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 13

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.
463 services461 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.
288 services263 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.
193 services174 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.
137 services118 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.
132 services91 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
124 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21157 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

86.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.32
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%74 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
85%620 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
54%81 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%289 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 2

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

FRANK ROBERTSON ABOC
Technician/Technologist (Optician)
5 CARROLL PLZ
WESTMINSTER, MD 21157
Carroll County (410) 848-9243
WESTMINSTER FAMILY VISION CENTER, INC.
Optometrist
5 CARROLL PLZ
WESTMINSTER, MD 21157
Carroll County (410) 848-9243

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 Helen Hooper's NPI number?

The NPI number for Helen Hooper is 1619031853. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Helen Hooper located?

Helen Hooper practices at 5 Carroll Plz, Westminster, MD 21157. The listed phone number is (410) 876-1761.

What is Helen Hooper's specialty?

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

Is Helen Hooper enrolled in Medicare?

Yes. Helen Hooper 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 Helen Hooper accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Helen Hooper 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 Helen Hooper was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.