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ALEX LUPOLT OD
NPI 1962025239
Optometrist in Lewisburg, PA

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment
97.14/100
CMS Quality Rating
4504 WESTBRANCH HWY, LEWISBURG, PA 17837(570) 768-4970 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2020, May 29, 2020, May 21, 2020 (3 updates tracked since 2020).

About Alex Lupolt Od NPPES

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

ALEX LUPOLT OD (NPI 1962025239) is an individual optometrist in Lewisburg, Pennsylvania, licensed in Pennsylvania (OEG003669) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962025239
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameALEX LUPOLTCredential: OD
Location Address4504 WESTBRANCH HWYLewisburg, PA 17837-6605
Mailing Address1331 County Line RdSelinsgrove, PA 17870-8187 · (570) 765-1636
Phone(570) 768-4970
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 21, 2020
Last NPPES UpdateJune 22, 20203 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
✔ NPI 1962025239 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 PA · OEG003669
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.
4504 WESTBRANCH HWY, Lewisburg, PA 17837
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Accepted Insurance

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

Alex Lupolt 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 ID5193147692
PECOS Enrollment IDI20200629002433
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 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 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.
192 services156 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
108 services66 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.
71 services59 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).
57 services46 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.
54 services54 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.
40 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17837 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

97.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.49

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 Alex Lupolt's NPI number?

The NPI number for Alex Lupolt is 1962025239. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Alex Lupolt located?

Alex Lupolt practices at 4504 Westbranch Hwy, Lewisburg, PA 17837. The listed phone number is (570) 768-4970.

What is Alex Lupolt's specialty?

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

Is Alex Lupolt enrolled in Medicare?

Yes. Alex Lupolt 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 Alex Lupolt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Alex Lupolt 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 Alex Lupolt was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.