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DR. LUKE R PLOESSL OD
NPI 1659910453
Optometrist in Dubuque, IA

Active since December 27, 2019PECOS EnrolledAccepts Medicare Assignment
2140 JFK RD STE F, DUBUQUE, IA 52002(563) 580-9932 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2021, May 14, 2020, Dec 27, 2019 (3 updates tracked since 2019).

About Dr. Luke R Ploessl Od NPPES

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

DR. LUKE R PLOESSL OD (NPI 1659910453) is an individual optometrist in Dubuque, Iowa, licensed in Iowa (101192) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2020).

NPPES Registry Identity

NPI1659910453
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LUKE R PLOESSLCredential: OD
Location Address2140 JFK RD STE FDubuque, IA 52002-3883
Mailing Address2140 Jfk Rd Ste FDubuque, IA 52002-3883
Phone(563) 580-9932
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2020
Enumeration DateDecember 27, 2019
Last NPPES UpdateMay 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1659910453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 101192
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2140 JFK RD STE F, Dubuque, IA 52002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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. Luke R Ploessl 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 ID8426472218
PECOS Enrollment IDI20200727002510, I20200916001125
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 10

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 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.
253 services253 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.
158 services121 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
141 services141 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.
132 services122 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).
66 services57 patients
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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

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 Luke Ploessl's NPI number?

The NPI number for Luke Ploessl is 1659910453. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Luke Ploessl located?

Luke Ploessl practices at 2140 Jfk Rd Ste F, Dubuque, IA 52002. The listed phone number is (563) 580-9932.

What is Luke Ploessl's specialty?

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

Is Luke Ploessl enrolled in Medicare?

Yes. Luke Ploessl 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 Luke Ploessl accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 8 other insurers list Luke Ploessl 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 Luke Ploessl was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.