PAIGE BENTEN DIEPENBROCK OD
NPI 1962070235
Optometrist in Saint Louis, MO

Q: What is Paige Diepenbrock's NPI number?

The NPI number for Paige Diepenbrock is 1962070235. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Paige Diepenbrock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paige Diepenbrock was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment

17 RONNIES PLZ, SAINT LOUIS, MO 63126(314) 843-2020 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2023, Jun 14, 2021 (2 updates tracked since 2021).

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About Paige Benten Diepenbrock Od NPPES

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

PAIGE BENTEN DIEPENBROCK OD (NPI 1962070235) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2021020950) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2021).

NPPES Registry Identity

NPI1962070235

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NamePAIGE BENTEN DIEPENBROCKCredential: OD

Location Address17 RONNIES PLZSaint Louis, MO 63126-3552

Mailing Address17 Ronnies PlzSaint Louis, MO 63126-3552 · (314) 843-2020 · Fax (314) 843-2021

Phone(314) 843-2020

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2021

Enumeration DateJune 14, 2021

Last NPPES UpdateMay 10, 20232 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1962070235 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 MO · 2021020950

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.

17 RONNIES PLZ, Saint Louis, MO 63126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Paige Benten Diepenbrock 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 ID1153722681

PECOS Enrollment IDI20210622001768

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 2

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.

45 services34 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.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63126 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 5

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

TARY VISION LLC

Optometrist