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DR. SAMUEL ELIJAH LUPKES OD
NPI 1689382020
Optometrist in Faribault, MN

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
300 WESTERN AVE NW STE 100 1/2, FARIBAULT, MN 55021(916) 747-0029 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Elijah Lupkes Od NPPES

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

DR. SAMUEL ELIJAH LUPKES OD (NPI 1689382020) is an individual optometrist in Faribault, Minnesota, licensed in Minnesota (3832) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2022).

NPPES Registry Identity

NPI1689382020
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMUEL ELIJAH LUPKESCredential: OD
Location Address300 WESTERN AVE NW STE 100 1/2Faribault, MN 55021-4528
Mailing Address601 1st Ave Ne Apt 327Faribault, MN 55021-2904 · (916) 747-0029
Phone(916) 747-0029
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2022
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1689382020 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 MN · 3832
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.
300 WESTERN AVE NW STE 100 1/2, Faribault, MN 55021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Samuel Elijah Lupkes 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 ID244609238
PECOS Enrollment IDI20221214001362
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 2

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.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55021 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

SHOPTIKAL LLC
Eyewear Supplier
300 WESTERN AVE NW STE 100 1/2
FARIBAULT, MN 55021
Rice County (920) 429-2211

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 Samuel Lupkes's NPI number?

The NPI number for Samuel Lupkes is 1689382020. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Samuel Lupkes located?

Samuel Lupkes practices at 300 Western Ave NW Ste 100 1/2, Faribault, MN 55021. The listed phone number is (916) 747-0029.

What is Samuel Lupkes's specialty?

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

Is Samuel Lupkes enrolled in Medicare?

Yes. Samuel Lupkes 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 Samuel Lupkes accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Samuel Lupkes 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 Samuel Lupkes was last updated on November 14, 2022. 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.