MARGUERITE MARY KOHLHEPP MD
NPI 1659371441
Ophthalmology - Retina Specialist in Brandon, FL

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
403 VONDERBURG DR, BRANDON, FL 33511(813) 681-1122(813) 684-4924 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2020, Dec 6, 2017 (2 updates tracked since 2017).

About Marguerite Mary Kohlhepp Md NPPES

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

MARGUERITE MARY KOHLHEPP MD (NPI 1659371441) is an individual retina specialist in Brandon, Florida, licensed in Florida (ME76125) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brandon, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1993).

NPPES Registry Identity

NPI1659371441
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameMARGUERITE MARY KOHLHEPPCredential: MD
Location Address403 VONDERBURG DRBrandon, FL 33511-5982
Mailing Address403 Vonderburg DrBrandon, FL 33511-5982 · (813) 681-1122 · Fax (813) 684-4924
Fax(813) 684-4924
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1993
Enumeration DateJuly 22, 2005
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
NPI 1659371441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in FL · ME76125
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME0076125 (FL)
403 VONDERBURG DR, Brandon, FL 33511

Secondary Practice Location 1

Location 1135 W Robertson StBrandon, FL 33511-5111 · Phone (813) 685-0001 · Fax (813) 685-0008

Other Identifiers 5

Other3353345FL · Cigna
Other7514064FL · Aetna
Other58545FL · Bcbsfl
Medicaid264786900FL
Other9666437NY · Ghi

Accepted 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

Marguerite Mary Kohlhepp Md 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 ID345234589
PECOS Enrollment IDI20040412000992
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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
21,480 services71 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.
2,294 services871 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.
2,098 services865 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,052 services214 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,577 services297 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.
1,083 services841 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%62 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
403 VONDERBURG DR
BRANDON, FL 33511
Audiologist
403 VONDERBURG DR
BRANDON, FL 33511
Ophthalmology
403 VONDERBURG DR, STE 101
BRANDON, FL 33511
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
403 VONDERBURG DR, 101
BRANDON, FL 33511
Audiologist
403 VONDERBURG DR
BRANDON, FL 33511
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511
Ophthalmology
403 VONDERBURG DR
BRANDON, FL 33511

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 Marguerite Kohlhepp's NPI number?

The NPI number for Marguerite Kohlhepp is 1659371441. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Marguerite Kohlhepp located?

Marguerite Kohlhepp practices at 403 Vonderburg Dr, Brandon, FL 33511. The listed phone number is (813) 681-1122.

What is Marguerite Kohlhepp's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Marguerite Kohlhepp enrolled in Medicare?

Yes. Marguerite Kohlhepp 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 Marguerite Kohlhepp accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Marguerite Kohlhepp 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 Marguerite Kohlhepp was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.