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DR. CLAIRE LUPTON OD
NPI 1841182391
Optometrist in Springfield, IL

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
121 N GRAND AVE W, SPRINGFIELD, IL 62702(217) 528-3233 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Claire Lupton Od NPPES

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

DR. CLAIRE LUPTON OD (NPI 1841182391) is an individual optometrist in Springfield, Illinois, licensed in Illinois (046011999) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841182391
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CLAIRE LUPTONCredential: OD
Location Address121 N GRAND AVE WSpringfield, IL 62702-2562
Mailing Address121 N Grand Ave WSpringfield, IL 62702-2562 · (217) 528-3233
Phone(217) 528-3233
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1841182391 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 IL · 046011999
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.
121 N GRAND AVE W, Springfield, IL 62702
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Secondary Practice Location 1

Location 12741 Prairie Crossing DrSpringfield, IL 62711-7162 · Phone (217) 528-3233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Claire Lupton 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 ID6901398387
PECOS Enrollment IDI20251124000441
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 Claire Lupton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Vision Care Associates, Ltd
Same address
Optometrist
121 N GRAND AVE W
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1811935406 (217) 528-3233

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 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 8

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

DR. TIMOTHY EDWARDS O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
DR. SCOTT BLOMBERG O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
DR. ANDREW CLARK O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
DR. DAVID C HOLLAND O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
DR. PAUL K. ANTHONY O.D.
Optometrist (Low Vision Rehabilitation)
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
DR. MICHAEL BRUCE O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
SHAUN S. HILL O.D.
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233
SPRINGFIELD VISION CARE ASSOCIATES, LTD
Optometrist
121 N GRAND AVE W
SPRINGFIELD, IL 62702
Sangamon County (217) 528-3233

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 Claire Lupton's NPI number?

The NPI number for Claire Lupton is 1841182391. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Claire Lupton located?

Claire Lupton practices at 121 N Grand Ave W, Springfield, IL 62702. The listed phone number is (217) 528-3233.

What is Claire Lupton's specialty?

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

Is Claire Lupton enrolled in Medicare?

Yes. Claire Lupton 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 Claire Lupton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Lupton reassigns Medicare benefits to Springfield Vision Care Associates, Ltd (Springfield, IL). 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 Claire Lupton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Lupton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Claire Lupton 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 Claire Lupton was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.