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HOLLY RAEANN KOOPMAN OD
NPI 1851741425
Optometrist in Louisville, KY

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
6812 DIXIE HWY, LOUISVILLE, KY 40258(502) 933-7986(502) 933-2652 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Holly Raeann Koopman Od NPPES

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

HOLLY RAEANN KOOPMAN OD (NPI 1851741425) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2017DT) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851741425
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHOLLY RAEANN KOOPMANCredential: OD
Location Address6812 DIXIE HWYLouisville, KY 40258-3914
Mailing Address4000 Poplar Level RdLouisville, KY 40213-1524 · (502) 813-8928 · Fax (502) 456-9121
Phone(502) 933-7986
Fax(502) 933-2652
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2016
Last NPPES UpdateJune 11, 20194 updates tracked since enumeration
✔ NPI 1851741425 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 KY · 2017DT✔ Licensed in IN · 18004061A
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.
6812 DIXIE HWY, Louisville, KY 40258
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112911 Shelbyville RdLouisville, KY 40243-1613 · Phone (502) 254-1100 · Fax (502) 254-7634
Location 24326 Charlestown Rd # 2New Albany, IN 47150-8542 · Phone (812) 945-0023 · Fax (812) 945-0291
Location 3285 N Hubbards Ln Ste 500Louisville, KY 40207-3217 · Phone (502) 454-9122 · Fax (502) 456-9121

Other Identifiers 7

Other2017DTKY · Kentucky License Number
Other221390002IN · Indiana Medicare
Other2017DTKY · Kentucky Liense
OtherK249890KY · Kentucky Medicare
MedicaidPENDINGIN
Other18004061AIN · Indiana License Number
Medicaid7100492340KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Holly Raeann Koopman 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 ID7012287733
PECOS Enrollment IDI20170727003151, I20170825001346
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 Holly Koopman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Louisville Optometric Centers III, Psc
7.8 mi
Optometrist
4000 POPLAR LEVEL RD
Louisville, KY 40213
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 15 clinicians in this Medicare group
NPI 1134111271 (502) 451-0332

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 8

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 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.
95 services71 patients
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.
63 services63 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
54 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
23 services17 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.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40258 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.

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. AYALA M LANNON O.D.
Optometrist
6812 DIXIE HWY
LOUISVILLE, KY 40258
Jefferson County (502) 933-7986
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Eyewear Supplier
6812 DIXIE HWY
LOUISVILLE, KY 40258
Jefferson County (502) 933-7986

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 Holly Koopman's NPI number?

The NPI number for Holly Koopman is 1851741425. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Holly Koopman located?

Holly Koopman practices at 6812 Dixie Hwy, Louisville, KY 40258. The listed phone number is (502) 933-7986.

What is Holly Koopman's specialty?

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

Is Holly Koopman enrolled in Medicare?

Yes. Holly Koopman 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 Holly Koopman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Koopman reassigns Medicare benefits to Louisville Optometric Centers III, Psc (Louisville, KY). 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 Holly Koopman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Koopman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Holly Koopman 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 Holly Koopman was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.