1. Home
  2. Directory
  3. Kentucky
  4. Middlesboro
  5. Optometrist
  6. NPI Profile

LLOYD LEE CAIN JR. OD
NPI 1841376480
Optometrist in Middlesboro, KY

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
2145 US HIGHWAY 25 E, MIDDLESBORO, KY 40965(606) 248-3582(606) 248-0014 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lloyd Lee Cain Jr. Od NPPES

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

LLOYD LEE CAIN JR. OD (NPI 1841376480) is an individual optometrist in Middlesboro, Kentucky, licensed in Kentucky (1103DT) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1987).

NPPES Registry Identity

NPI1841376480
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLLOYD LEE CAIN JR.Credential: OD
Location Address2145 US HIGHWAY 25 EMiddlesboro, KY 40965-1874
Mailing Address2145 Us Highway 25 EMiddlesboro, KY 40965-1874 · (606) 248-3582
Phone(606) 248-3582
Fax(606) 248-0014
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1987
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 7, 2016
✔ NPI 1841376480 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 KY · 1103DT
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.
2145 US HIGHWAY 25 E, Middlesboro, KY 40965
Open in Google Maps ↗

Other Identifiers 7

Medicaid77011039KY
Other55219Davis Vision
Medicare UPINT54745
Other000000049007KY · Bcbs
Medicare NSC0562760001KY
Medicare PIN9256001KY
Other410006579Rr Medicare

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 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

Lloyd Lee Cain Jr. 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 ID2264324532
PECOS Enrollment IDI20060206000268
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 4

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.
94 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.
53 services29 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.
36 services36 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).
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

LEE CAIN OD
Optometrist
2145 US HIGHWAY 25 E
MIDDLESBORO, KY 40965
Bell County (606) 248-3582
NICOLE PURSIFULL NP
Nurse Practitioner (Family)
2145 US HIGHWAY 25 E
MIDDLESBORO, KY 40965
Bell County (606) 248-8503
MOUNTAIN OPTICAL, LLC
Eyewear Supplier
2145 US HIGHWAY 25 E
MIDDLESBORO, KY 40965
Bell County (606) 248-6030

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 Lloyd Cain's NPI number?

The NPI number for Lloyd Cain is 1841376480. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Lloyd Cain located?

Lloyd Cain practices at 2145 Us Highway 25 E, Middlesboro, KY 40965. The listed phone number is (606) 248-3582.

What is Lloyd Cain's specialty?

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

Is Lloyd Cain enrolled in Medicare?

Yes. Lloyd Cain 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 Lloyd Cain accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Lloyd Cain 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 Lloyd Cain was last updated on April 7, 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.