Active NPI 1003807553 Individual Practitioner Male Practitioner

Dr. James M Repko , OD

Optometrist • Cresson, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Repko, OD is a certified Optometrist practicing in Cresson, PA. With approximately 45 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1981, Dr. Repko delivers high-quality medical care to the local community at 505 2ND ST.

Dr. Repko accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

505 2nd St

Cresson, PA 166301224

Telephone 8148862906

Fax 8148862119

Associated Practice Facility / Clinic

🏢 James M Repko Od Facility NPI 1740454974

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cresson, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +15.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Cresson, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Repko (45 Years) 45 Yrs

Cresson Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	224	192	$90.00	$83.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$120.00	$105.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	193	177	$90.00	$85.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$120.00	$107.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	197	170	$90.00	$86.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$120.00	$108.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	199	167	$90.00	$87.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	147	121	$90.00	$86.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$115.00	$105.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	239	194	$90.00	$85.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$115.00	$105.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	255	215	$90.00	$79.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$55.00	$40.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$115.00	$99.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	290	240	$90.00	$76.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$55.00	$39.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$115.00	$98.46

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OE-G000703

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0009051220004 (PA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2012

Registered at 505 2ND ST, CRESSON, PA 166301224 (Tel: 8148862906)

📍

Updated Business Mailing Address January 10, 2012

Registered at 505 2ND ST, PO BOX 182, CRESSON, PA 166301224 (Tel: 8148862906)

👤

Provider Name / Credentials Updated January 10, 2012

Recorded as JAMES REPKO, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2012

Optometrist (License #OE-G000703 in PA)

🟢

Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003807553

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2005

Last Update: January 10, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

505 2nd St, Po Box 182

Cresson, PA 166301224

Phone: 8148862906

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.