STEPHANIE LEBURG-JETT OD
NPI 1730531336
Optometrist in Philadelphia, PA

Q: What is Stephanie Leburg-jett's NPI number?

The NPI number for Stephanie Leburg-jett is 1730531336. It was assigned to this individual provider in the NPPES registry on July 7, 2016. The provider is also known as Stephanie Leburg.

Q: What is Stephanie Leburg-jett's specialty?

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

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6173 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Leburg-jett Od NPPES

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

STEPHANIE LEBURG-JETT OD (NPI 1730531336) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003157) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730531336

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSTEPHANIE LEBURG-JETTCredential: OD

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6173

Phone(215) 276-6173

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 7, 2016

Last NPPES UpdateJanuary 26, 2022

NPPES CertifiedJanuary 26, 2022

✔ NPI 1730531336 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 · OEG003157

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.

1200 W GODFREY AVE, Philadelphia, PA 19141

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Other Names 1

Former Name (1)Stephanie Leburg

Other Identifiers 1

Other13854027PA · Caqh Number

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

Stephanie Leburg-jett 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 ID1153617741

PECOS Enrollment IDI20160908000168

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

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.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

DANIEL HOFFMAN O.D

Optometrist