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KARILYN M PIWONI-LIPPA OD
NPI 1639130321
Optometrist in Pittsford, NY

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
76.15/100
CMS Quality Rating
160 OFFICE PKWY, PITTSFORD, NY 14534(585) 273-3937 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Jul 23, 2019 (2 updates tracked since 2019).

About Karilyn M Piwoni-lippa Od NPPES

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

KARILYN M PIWONI-LIPPA OD (NPI 1639130321) is an individual optometrist in Pittsford, New York, licensed in New York (006473) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Pennsylvania College Of Optometry (1995).

NPPES Registry Identity

NPI1639130321
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKARILYN M PIWONI-LIPPACredential: OD
Location Address160 OFFICE PKWYPittsford, NY 14534-1759
Mailing Address601 Elmwood Ave Box 888Rochester, NY 14642-0001 · (585) 275-3937
Phone(585) 273-3937
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1995
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1639130321 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 NY · 006473
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.
160 OFFICE PKWY, Pittsford, NY 14534
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Other Names 1

Former Name (1)Dr. Karilyn M Piwoni Od

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

Karilyn M Piwoni-lippa 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 ID3173621125
PECOS Enrollment IDI20070614000399
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 9

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.
108 services97 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.
67 services67 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.
63 services58 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.
60 services43 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.
30 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
27 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14534 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

76.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost33.95

Other Providers at the Same Location NPPES

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

STRONG OPTICAL SHOP
Eyewear Supplier
160 OFFICE PKWY
PITTSFORD, NY 14534
Monroe County (585) 275-0378

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 Karilyn Piwoni-lippa's NPI number?

The NPI number for Karilyn Piwoni-lippa is 1639130321. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Dr. Karilyn M Piwoni Od.

Where is Karilyn Piwoni-lippa located?

Karilyn Piwoni-lippa practices at 160 Office Pkwy, Pittsford, NY 14534. The listed phone number is (585) 273-3937.

What is Karilyn Piwoni-lippa's specialty?

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

Is Karilyn Piwoni-lippa enrolled in Medicare?

Yes. Karilyn Piwoni-lippa 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 Karilyn Piwoni-lippa 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 and Providence Health Plan list Karilyn Piwoni-lippa 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.

Is Karilyn Piwoni-lippa affiliated with any hospitals?

According to CMS data, Karilyn Piwoni-lippa is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karilyn Piwoni-lippa was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.