LUIS C TRUJILLO O.D.
NPI 1619109758
Optometrist - Pediatrics in Philadelphia, PA

Q: What is Luis Trujillo's NPI number?

The NPI number for Luis Trujillo is 1619109758. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Q: What is Luis Trujillo's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Q: When was this NPI record last updated?

The NPPES record for Luis Trujillo was last updated on July 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 21, 2009PECOS EnrolledAccepts Medicare Assignment

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Luis C Trujillo O.d. NPPES

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

LUIS C TRUJILLO O.D. (NPI 1619109758) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG002259) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619109758

Entity TypeIndividualMale

Primary Taxonomy152WP0200X

Provider Legal NameLUIS C TRUJILLOCredential: O.D.

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address215 Fisher RdJenkintown, PA 19046-3811 · (512) 470-2409

Phone(215) 276-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 21, 2009

Last NPPES UpdateJuly 15, 2011

✔ NPI 1619109758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in PA · OEG002259

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Also ListedOptometristTaxonomy 152W00000X · License OEG002259 (PA)

1200 W GODFREY AVE, Philadelphia, PA 19141

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Accepted Insurance

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

Luis C Trujillo O.d. 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 ID547439895

PECOS Enrollment IDI20110803000446

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

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

DANIEL HOFFMAN O.D

Optometrist