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

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: October 25, 2026.

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
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

Accepted 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

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.

Medicare Billing Reassignments

3

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

Same address
Optometrist
1200 W GODFREY AVE
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
Same address
Optometrist
1200 W GODFREY AVE
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Salus University
  • 63 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
400 W ALLEGHENY AVE BLDG 3
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group

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

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.

Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Optometrist
1200 W GODFREY AVE
PHILADELPHIA, PA 19141
Occupational Therapist
1200 W GODFREY AVE, ADMINISTRATION SUITE
PHILADELPHIA, PA 19141

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 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.

Where is Luis Trujillo located?

Luis Trujillo practices at 1200 W Godfrey Ave, Philadelphia, PA 19141. The listed phone number is (215) 276-6000.

What is Luis Trujillo's specialty?

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

Is Luis Trujillo enrolled in Medicare?

Yes. Luis Trujillo 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 Luis Trujillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Trujillo reassigns Medicare benefits to 3 organizations: Drexel University (Philadelphia, PA), Drexel University (Philadelphia, PA) and Delaware Valley Community Health, Inc. (Philadelphia, PA). 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 Luis Trujillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Trujillo 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 11 other insurers list Luis Trujillo 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 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.