Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RICHARD M. KOWALSKI O.D.
NPI 1720058480
Optometrist in Lebanon, PA

Active since January 25, 2006PECOS Enrolled
52.52/100
CMS Quality Rating
875 NORMAN DR, LEBANON, PA 17042(717) 272-2010(717) 272-2937 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard M. Kowalski O.d. NPPES

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

DR. RICHARD M. KOWALSKI O.D. (NPI 1720058480) is an individual optometrist in Lebanon, Pennsylvania, licensed in Pennsylvania (OEG000119) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1994).

NPPES Registry Identity

NPI1720058480
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD M. KOWALSKICredential: O.D.
Location Address875 NORMAN DRLebanon, PA 17042-7454
Mailing Address111 Trillium DrPalmyra, PA 17078-9006 · (717) 657-2020 · Fax (717) 272-2937
Fax(717) 272-2937
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1994
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJune 17, 2026
NPI 1720058480 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 PA · OEG000119
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.
875 NORMAN DR, Lebanon, PA 17042

Other Identifiers 1

Medicaid0017250110001PA

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

Dr. Richard M. Kowalski O.d. 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 ID1153534169
PECOS Enrollment IDI20111212000696
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 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.
193 services182 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.
56 services55 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.
39 services39 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.
35 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services34 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.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

52.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost25.08

Other Providers at the Same Location NPPES 7

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

Technician/Technologist (Optician)
875 NORMAN DR
LEBANON, PA 17042
Ophthalmology
875 NORMAN DR
LEBANON, PA 17042
Optometrist
875 NORMAN DR
LEBANON, PA 17042
Ophthalmology
875 NORMAN DR
LEBANON, PA 17042
Optometrist
875 NORMAN DR
LEBANON, PA 17042
Clinic/Center (Ambulatory Surgical)
875 NORMAN DR
LEBANON, PA 17042
Optometrist
875 NORMAN DR
LEBANON, PA 17042

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 Richard Kowalski's NPI number?

The NPI number for Richard Kowalski is 1720058480. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Richard Kowalski located?

Richard Kowalski practices at 875 Norman Dr, Lebanon, PA 17042. The listed phone number is (717) 272-2010.

What is Richard Kowalski's specialty?

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

Is Richard Kowalski enrolled in Medicare?

Yes. Richard Kowalski 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 Richard Kowalski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Richard Kowalski 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 Richard Kowalski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.