ROGER W ALBURN OD
NPI 1285634626
Optometrist in West Chester, PA
NPI Status: Active since July 28, 2005
Contact Information
915 OLD FERN HILL RD
BUILDING B SUITE 200
WEST CHESTER, PA
ZIP 19380
Phone: (610) 696-1230
Fax: (610) 918-0803
- Individual
- Male
- Optometrist
- PECOS Enrolled
About ROGER ALBURN
This page provides the complete NPI Profile along with additional information for Roger Alburn, a provider established in West Chester, Pennsylvania with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1285634626 assigned on July 2005. The practitioner's primary taxonomy code is 152W00000X with license number OEG000296 (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1285634626
- Provider Name
- ROGER W ALBURN OD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 915 OLD FERN HILL RD BUILDING B SUITE 200 WEST CHESTER, PA 19380
- Location Phone
- (610) 696-1230
- Location Fax
- (610) 918-0803
- Mailing Address
- 915 OLD FERN HILL RD BUILDING B SUITE 200 WEST CHESTER, PA 19380
- Mailing Phone
- (610) 696-1230
- Mailing Fax
- (610) 918-0803
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2005
- Last Update Date
- 04-23-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- OEG000296
- License State
- PA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0017616620002 | MEDICAID (05) | PA | |
| 848738H6S | MEDICARE PIN (08) | PA | |
| 001761662 | MEDICAID (05) | PA | |
| U60664 | MEDICARE UPIN (02) | ||
| 848738H65 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
Medicare Participation & PECOS Enrollment Status
Roger Alburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19380 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.47
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $18.61
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 3 | 4 | 6 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 3 | 8 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 3 + 8 + 6 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1285634626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881687614 | TURKS HEAD SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 915 OLD FERN HILL RD BLDG B SUITE 100 WEST CHESTER, PA 19380 (484) 723-0100 |
| 1255312757 | WILLIAM R ATKINS MD Individual | Obstetrics & Gynecology | 915 OLD FERN HILL RD BLDG D SUITE 600 WEST CHESTER, PA 19380 (610) 692-3434 |
| 1598747859 | MORRIE G GOLD MD Individual | Obstetrics & Gynecology | 915 OLD FERN HILL RD BLDG. D, SUITE 600 WEST CHESTER, PA 19380 (610) 692-3434 |
| 1972588325 | DR. ANTONINUS JOSEPH MANOS D.O. Individual | Family Medicine | 915 OLD FERN HILL RD BUILDING D SUITE 500 WEST CHESTER, PA 19380 (610) 235-4100 |
| 1275501298 | ROBERT J KREB III MD Individual | Physical Medicine & Rehabilitation | 915 OLD FERN HILL RD STE 4 WEST CHESTER, PA 19380 (610) 738-2480 |
| 1568431534 | KENNETH A WITTERHOLT M.D. Individual | Surgery | 915 OLD FERN HILL RD BUILDING B, SUITE 201 WEST CHESTER, PA 19380 (610) 436-6696 |
| 1447229414 | JORGE TRAJTENBERG M.D. Individual | Surgery | 915 OLD FERN HILL RD BUILDING B, SUITE 201 WEST CHESTER, PA 19380 (610) 436-6696 |
| 1912976531 | DONELLE L RHOADS M.D. Individual | Surgery | 915 OLD FERN HILL RD BUILDING B, SUITE 201 WEST CHESTER, PA 19380 (610) 436-6696 |
| 1437128048 | PAMELA P SCOTT M.D. Individual | Surgery | 915 OLD FERN HILL RD BUILDING B, SUITE 201 WEST CHESTER, PA 19380 (610) 436-6696 |
| 1841253648 | MARTYE L. MARSHALL MD Individual | Internal Medicine | 915 OLD FERN HILL RD SUITE 4 WEST CHESTER, PA 19380 (610) 738-2590 |
| 1366481285 | CHESTER COUNTY ORTHOPAEDIC ASSOCIATES,LTD Organization | Orthopaedic Surgery | 915 OLD FERN HILL RD SUITE 1 B-A WEST CHESTER, PA 19380 (610) 350-2210 |
| 1952344731 | UROLOGY CENTER OF CHESTER COUNTY P C Organization | Urology | 915 OLD FERN HILL RD BLDG.,BSUITE 202 WEST CHESTER, PA 19380 (610) 692-4270 |
| 1114960564 | DR. JOHN H BENNER MD Individual | Orthopaedic Surgery | 915 OLD FERN HILL RD SUITE 1 B-A WEST CHESTER, PA 19380 (610) 692-6280 |
| 1639112089 | DR. RICHARD W. ZIEGLER MD Individual | Orthopaedic Surgery | 915 OLD FERN HILL RD SUITE 1 B-A WEST CHESTER, PA 19380 (610) 692-6280 |
| 1780771287 | DR. RICHARD DONZE D.O. Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 915 OLD FERN HILL RD BUILDING A SUITE 3 WEST CHESTER, PA 19380 (610) 738-2450 |
| 1801978010 | MANOS FAMILY PRACTICE PC Organization | Family Medicine | 915 OLD FERN HILL RD BUILDING D SUITE 500 WEST CHESTER, PA 19380 (610) 235-4100 |
| 1326190810 | MR. DAVID S. CLUCK ATC, PTA Individual | Physical Therapy Assistant | 915 OLD FERN HILL RD WEST CHESTER, PA 19380 (610) 738-2480 |
| 1639224520 | MR. JOHN C GOSE P.T., M.S., O.C.S. Individual | Physical Therapist (Orthopedic) | 915 OLD FERN HILL RD SUITE 4 WEST CHESTER, PA 19380 (610) 738-2480 |
| 1912043258 | DR. WILLIAM MERRIAM M.D. Individual | Urology | 915 OLD FERN HILL RD BUILDING B STE 202 WEST CHESTER, PA 19380 (610) 692-4270 |
| 1457471781 | LINDA STICKLIN CRNP Individual | Nurse Practitioner (Adult Health) | 915 OLD FERN HILL RD BUILDING A, SUITE 3 WEST CHESTER, PA 19380 (610) 738-2450 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285634626, enumerated in the NPI registry as an "individual" on July 28, 2005
The provider is located at 915 Old Fern Hill Rd Building B Suite 200 West Chester, Pa 19380 and the phone number is (610) 696-1230
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $137.17 with an average copayment of $34.29 for new patient appointments. Established patients should expect a typical charge of $74.47 and an average copayment of 18.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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