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DR. KARYN R SEFFENS OD
NPI 1619087079
Optometrist in Front Royal, VA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
869 JOHN MARSHALL HWY, FRONT ROYAL, VA 22630(540) 635-3223(540) 635-1050 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Karyn R Seffens Od NPPES

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

DR. KARYN R SEFFENS OD (NPI 1619087079) is an individual optometrist in Front Royal, Virginia, licensed in Virginia (0618001559) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1619087079
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KARYN R SEFFENSCredential: OD
Location Address869 JOHN MARSHALL HWYFront Royal, VA 22630-4578
Mailing Address40855 Manor House RdLeesburg, VA 20175-6519
Phone(540) 635-3223
Fax(540) 635-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1619087079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in VA · 0618001559✔ Licensed in DC · OP10000164
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.
869 JOHN MARSHALL HWY, Front Royal, VA 22630
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Other Identifiers 4

Medicaid010272157VA
Medicaid010273897VA
Medicaid010273846VA
Medicaid010273889VA

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 Louisiana, Blue Cross and Blue Shield of Montana 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. Karyn R Seffens 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 ID1254330699
PECOS Enrollment IDI20110312000054
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

3

Medicare enrollment records show Karyn Seffens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myeyedr Optometry Of Virginia, PLLC
Same address
Optometrist
869 JOHN MARSHALL HWY STE C
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1568350791 (540) 635-3223
Visiting Eyecare LLC
33 mi
Optometrist
40855 MANOR HOUSE RD
Leesburg, VA 20175
  • Reassigned Medicare billing, Virginia enrollment
NPI 1619701877 (704) 400-2403
Dulles Optometry, LLC
41 mi
Optometrist
22000 DULLES RETAIL PLZ, STE. 168
Sterling, VA 20166
  • Reassigned Medicare billing, Virginia enrollment
  • 37 clinicians in this Medicare group
NPI 1699956136 (703) 421-3322

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 5

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.
58 services58 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.
44 services44 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.
25 services25 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.
25 services21 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 3

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

DR. HARRY M SARTELLE DDS
Dentist (General Practice)
869 JOHN MARSHALL HWY
FRONT ROYAL, VA 22630
Warren County (540) 635-2493
DR. NANCY TRANG DDS
Dentist (General Practice)
869 JOHN MARSHALL HWY
FRONT ROYAL, VA 22630
Warren County (540) 635-2493
DR. PAUL G BYERS DDS, MS
Dentist (General Practice)
869 JOHN MARSHALL HWY, SUITE A
FRONT ROYAL, VA 22630
Warren County (540) 635-2493

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 Karyn Seffens's NPI number?

The NPI number for Karyn Seffens is 1619087079. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Karyn Seffens located?

Karyn Seffens practices at 869 John Marshall Hwy, Front Royal, VA 22630. The listed phone number is (540) 635-3223.

What is Karyn Seffens's specialty?

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

Is Karyn Seffens enrolled in Medicare?

Yes. Karyn Seffens 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 Karyn Seffens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karyn Seffens reassigns Medicare benefits to 3 organizations: Myeyedr Optometry Of Virginia, PLLC (Front Royal, VA), Visiting Eyecare LLC (Leesburg, VA) and Dulles Optometry, LLC (Sterling, VA). 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 Karyn Seffens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karyn Seffens accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Karyn Seffens 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 Karyn Seffens was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.