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DR. ADELPHY PAYERO OD
NPI 1831906569
Optometrist in Pooler, GA

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment
105 GRAND CENTRAL BLVD STE 110, POOLER, GA 31322(912) 450-9200(912) 450-9201 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Nov 4, 2025, Dec 16, 2024 (3 updates tracked since 2024).

About Dr. Adelphy Payero Od NPPES

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

DR. ADELPHY PAYERO OD (NPI 1831906569) is an individual optometrist in Pooler, Georgia, licensed in Georgia (OPT003699) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831906569
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ADELPHY PAYEROCredential: OD
Location Address105 GRAND CENTRAL BLVD STE 110Pooler, GA 31322-4148
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(912) 450-9200
Fax(912) 450-9201
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 16, 2024
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1831906569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT003699✔ Licensed in FL · OPC6918
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.
105 GRAND CENTRAL BLVD STE 110, Pooler, GA 31322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Adelphy Payero 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 ID4789178427
PECOS Enrollment IDI20251210003135
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 Adelphy Payero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myeyedr Optometry Of Georgia, LLC
Same address
Optometrist
105 GRAND CENTRAL BLVD, SUITE #110
Pooler, GA 31322
  • Reassigned Medicare billing, Georgia enrollment
  • 210 clinicians in this Medicare group
NPI 1760883904 (912) 450-9200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31322 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 2

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

DR. BENJAMIN JOHNSON CRIDER O.D.
Optometrist
105 GRAND CENTRAL BLVD STE 110
POOLER, GA 31322
Chatham County (912) 450-9200
DR. ROBIN G BERDING O.D
Optometrist
105 GRAND CENTRAL BLVD STE 110
POOLER, GA 31322
Chatham County (912) 450-9200

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 Adelphy Payero's NPI number?

The NPI number for Adelphy Payero is 1831906569. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Adelphy Payero located?

Adelphy Payero practices at 105 Grand Central Blvd Ste 110, Pooler, GA 31322. The listed phone number is (912) 450-9200.

What is Adelphy Payero's specialty?

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

Is Adelphy Payero enrolled in Medicare?

Yes. Adelphy Payero 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 Adelphy Payero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adelphy Payero reassigns Medicare benefits to Myeyedr Optometry Of Georgia, LLC (Pooler, GA). 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 Adelphy Payero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adelphy Payero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 11 other insurers list Adelphy Payero 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 Adelphy Payero was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.