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DR. TROY LEE BEDINGHAUS O.D.
NPI 1831194075
Optometrist in Lakewood Ranch, FL

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
11151 E STATE ROAD 70, LAKEWOOD RANCH, FL 34202(941) 739-5959(941) 756-1925 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Troy Lee Bedinghaus O.d. NPPES

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

DR. TROY LEE BEDINGHAUS O.D. (NPI 1831194075) is an individual optometrist in Lakewood Ranch, Florida, licensed in Florida (OPC003083) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1997).

NPPES Registry Identity

NPI1831194075
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TROY LEE BEDINGHAUSCredential: O.D.
Location Address11151 E STATE ROAD 70Lakewood Ranch, FL 34202-8405
Mailing Address11151 E State Road 70Lakewood Ranch, FL 34202-8405 · (941) 739-5959 · Fax (941) 756-1925
Phone(941) 739-5959
Fax(941) 756-1925
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1997
Enumeration DateJune 15, 2005
Last NPPES UpdateApril 15, 2016
✔ NPI 1831194075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · OPC003083✔ Licensed in TX · 5374T
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 ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPC003083 (FL)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License OPC003083 (FL)
11151 E STATE ROAD 70, Lakewood Ranch, FL 34202
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Other Identifiers 4

Medicare UPINU69033FL
Other650772437FL · Federal Tax Id Number
Medicaid620337000FL
Medicare ID-Type Unspecified20816FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Troy Lee Bedinghaus 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 ID8820990682
PECOS Enrollment IDI20040122000558
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.

Medicare Billing Reassignment

Medicare enrollment records show Troy Bedinghaus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Troy L Bedinghaus Od PA
Same address
Optometrist
11151 E STATE ROAD 70
Lakewood Ranch, FL 34202
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1760661177 (941) 739-5959

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
222 services219 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.
120 services94 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.
60 services52 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
56 services53 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.
50 services42 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).
49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34202 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.

Other Providers at the Same Location NPPES

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

TROY L BEDINGHAUS OD PA
Optometrist
11151 E STATE ROAD 70
LAKEWOOD RANCH, FL 34202
Manatee County (941) 739-5959

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 Troy Bedinghaus's NPI number?

The NPI number for Troy Bedinghaus is 1831194075. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Troy Bedinghaus located?

Troy Bedinghaus practices at 11151 E State Road 70, Lakewood Ranch, FL 34202. The listed phone number is (941) 739-5959.

What is Troy Bedinghaus's specialty?

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

Is Troy Bedinghaus enrolled in Medicare?

Yes. Troy Bedinghaus 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.

Which organization bills Medicare for Troy Bedinghaus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troy Bedinghaus reassigns Medicare benefits to Troy L Bedinghaus Od PA (Lakewood Ranch, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Troy Bedinghaus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troy Bedinghaus accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 10 other insurers list Troy Bedinghaus 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 Troy Bedinghaus was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.