DR. JESSICA M. PHILBROOK O.D.
NPI 1992899884
Optometrist in Houlton, ME

Q: What is Jessica Philbrook's NPI number?

The NPI number for Jessica Philbrook is 1992899884. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Jessica Philbrook'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 Jessica Philbrook was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 03, 2006PECOS EnrolledAccepts Medicare Assignment

29 MILITARY ST STE B, HOULTON, ME 04730(207) 521-5233(207) 512-4501 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jessica M. Philbrook O.d. NPPES

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

DR. JESSICA M. PHILBROOK O.D. (NPI 1992899884) is an individual optometrist in Houlton, Maine, licensed in Maine (OPT890) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2006).

NPPES Registry Identity

NPI1992899884

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JESSICA M. PHILBROOKCredential: O.D.

Location Address29 MILITARY ST STE BHoulton, ME 04730-1713

Mailing Address29 Military St Ste BHoulton, ME 04730-1713 · (207) 521-5233 · Fax (207) 512-4501

Phone(207) 521-5233

Fax(207) 512-4501

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2006

Enumeration DateOctober 3, 2006

Last NPPES UpdateFebruary 16, 2021

NPPES CertifiedFebruary 10, 2021

✔ NPI 1992899884 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 ME · OPT890

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.

29 MILITARY ST STE B, Houlton, ME 04730

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Jessica M. Philbrook O.d. 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 ID6608950985

PECOS Enrollment IDI20080226000115

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 3

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 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.

180 services160 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.

83 services69 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.

22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04730 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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

94%35 patients4/55-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.

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 Jessica Philbrook's NPI number?

The NPI number for Jessica Philbrook is 1992899884. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jessica Philbrook located?

Jessica Philbrook practices at 29 Military St Ste B, Houlton, ME 04730. The listed phone number is (207) 521-5233.

What is Jessica Philbrook's specialty?

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

Is Jessica Philbrook enrolled in Medicare?

Yes. Jessica Philbrook 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 Jessica Philbrook accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Philbrook 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 Jessica Philbrook was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.