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DR. PAUL M KARPECKI OD
NPI 1619910569
Optometrist in Lexington, KY

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
601 PERIMETER DR, SUITE 200, LEXINGTON, KY 40517(859) 278-9393(859) 278-0923 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul M Karpecki Od NPPES

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

DR. PAUL M KARPECKI OD (NPI 1619910569) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (1293DT) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1994).

NPPES Registry Identity

NPI1619910569
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL M KARPECKICredential: OD
Location Address601 PERIMETER DR, SUITE 200Lexington, KY 40517-4121
Mailing Address601 Perimeter Dr, Suite 200Lexington, KY 40517-4121 · (859) 278-9393 · Fax (859) 278-0923
Phone(859) 278-9393
Fax(859) 278-0923
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1994
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 28, 2016
✔ NPI 1619910569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KY · 1293DT✔ Licensed in KS · 1454
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License KS1454 (KS)
601 PERIMETER DR, Lexington, KY 40517
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Other Identifiers 5

Other000000511197Bcbs
Medicare UPINU51344
Medicaid7100057430KY
Medicare PIN0656023KY
Medicare PINK152270KY

Accepted Insurance

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

Dr. Paul M Karpecki 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 ID9931281573
PECOS Enrollment IDI20080204000713
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 8

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
575 services160 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.
325 services157 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.
285 services122 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
102 services43 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
41 services41 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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.

Other Providers at the Same Location NPPES 14

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

MR. AARON MACDONALD A.T.C.
Specialist
601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517
Fayette County (859) 323-5533
KELLY EVERSOLE DPT
Specialist
601 PERIMETER DR, SUITE 100
LEXINGTON, KY 40517
Fayette County (859) 257-4576
KENTUCKY SPORTS MEDICINE CLINIC
Orthopaedic Surgery
601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517
Fayette County (859) 268-0268
BRETT LEAST MS, ATC
Specialist/Technologist (Athletic Trainer)
601 PERIMETER DR
LEXINGTON, KY 40517
Fayette County (859) 323-2610
LARRY ROBERT ULLERY ATC
Specialist/Technologist (Athletic Trainer)
601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517
Fayette County (859) 323-5533
DR. DAVID L BLANDFORD MD
Ophthalmology
601 PERIMETER DR, STE 200
LEXINGTON, KY 40517
Fayette County (859) 278-9393
BRYANT C EVANS OD
Optometrist
601 PERIMETER DR, STE 200
LEXINGTON, KY 40517
Fayette County (859) 278-9393
KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Ophthalmology
601 PERIMETER DR, STE 200
LEXINGTON, KY 40517
Fayette County (859) 278-9393

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 Paul Karpecki's NPI number?

The NPI number for Paul Karpecki is 1619910569. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Paul Karpecki located?

Paul Karpecki practices at 601 Perimeter Dr Suite 200, Lexington, KY 40517. The listed phone number is (859) 278-9393.

What is Paul Karpecki's specialty?

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

Is Paul Karpecki enrolled in Medicare?

Yes. Paul Karpecki 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 Paul Karpecki accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Paul Karpecki 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 Paul Karpecki was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.