MARY ELLEN JUDGE (O.D.) – Optometrist, NPI 1124012471

MARY ELLEN JUDGE (O.D.) is a healthcare provider. based in Wilkes barre, Pennsylvania. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. OE006896T (PA). The NPI Number for MARY ELLEN JUDGE (O.D.) is 1124012471

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN JUDGE (O.D.)
NPI
1124012471
Phone
(570) 704-0300
Address
500 SCOTT ST
Enumeration Date
1 September 2005
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5708253491
Graduation Year
1987 (39 years ago)
PAC ID
4385698950
Group Practice PAC ID
3577467489
Professional Enrollment ID
I20050307000342

Contacts

Secure Messaging
mejudge@nei.integrityemrdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MARY ELLEN JUDGE (O.D.)

  • 500, Scott Street, East End, Wilkes-Barre, Luzerne County, Pennsylvania, 18702, United States

    WILKES BARRE, PA 187025613

    Phone: (570) 704-0300

    Type: Mailing

  • 679, Kidder Street, East End, Wilkes-Barre, Luzerne County, Pennsylvania, 18702, United States

    WILKES BARRE, PA 187026908

    Phone: (570) 825-3491

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($19).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050307000342IOptometryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5151$0
92012Established patient problem focused exam of visual system2928$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 18702)

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Provider's Procedures

MARY ELLEN JUDGE (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYPA92012Eye and medical examination for diagnosis and treatment, established patient8080

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577467489View full group profile

Reviews

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Frequently asked questions

Does MARY ELLEN JUDGE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY ELLEN JUDGE (O.D.) uses 1124012471.
Is MARY ELLEN JUDGE (O.D.) still practicing?
MARY ELLEN JUDGE (O.D.) is currently listed as active in the public NPI registry.
What is MARY ELLEN JUDGE (O.D.) best known for clinically?
Directory data describes MARY ELLEN JUDGE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is MARY ELLEN JUDGE (O.D.) based?
MARY ELLEN JUDGE (O.D.) is tied to Wilkes Barre, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does MARY ELLEN JUDGE (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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