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JAMES A PODSCHUN O.D.
NPI 1003804121
Optometrist in Winter Park, FL

Active since October 12, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2069244 · Waiver
100/100
CMS Quality Rating
1935 STATE ROAD 436 STE 1001, WINTER PARK, FL 32792(407) 671-0960(407) 677-6696 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2019, Jun 30, 2016 (2 updates tracked since 2016).

About James A Podschun O.d. NPPES

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

JAMES A PODSCHUN O.D. (NPI 1003804121) is an individual optometrist in Winter Park, Florida, licensed in Florida (FLOP0002303) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 19, 2027, and maintains a secondary practice location in Winter Park.

NPPES Registry Identity

NPI1003804121
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES A PODSCHUNCredential: O.D.
Location Address1935 STATE ROAD 436 STE 1001Winter Park, FL 32792-2244
Mailing Address1935 State Road 436 Ste 1001Winter Park, FL 32792-2244 · (407) 671-0960 · Fax (407) 677-6696
Phone(407) 671-0960
Fax(407) 677-6696
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1986
Enumeration DateOctober 12, 2005
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1003804121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · FLOP0002303✔ Licensed in FL · OPC2303
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.
1935 STATE ROAD 436 STE 1001, Winter Park, FL 32792
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Other Names 1

Professional Name (2)James A Podschun Od Pa

Secondary Practice Location 1

Location 12828 Casa Aloma Way, Suite 400Winter Park, FL 32792-2223 · Phone (407) 671-0960 · Fax (407) 677-6696

Other Identifiers 2

Medicaid078735300FL
Other593036051FL · Tax Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A Podschun 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 ID9739375106
PECOS Enrollment IDI20110331000841
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.

Medicare Billing Reassignment

Medicare enrollment records show James Podschun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James A Podschun Od PA
Same address
Optometrist
1935 STATE ROAD 436 STE 1001
Winter Park, FL 32792
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1942518097 (407) 671-0960

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2069244

James A Podschun Od PA · Winter Park, FL
Active · expires Nov 19, 2027
CLIA Number10D2069244
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorJames A. Podschun
Laboratory Phone(407) 671-0960
Laboratory LocationJames A Podschun Od PA1935 State Road 436, Winter Park, FL 32792
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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 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.
279 services200 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.
93 services70 patients
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.
75 services54 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
71 services71 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
62 services61 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
62 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JAMES A PODSCHUN OD PA
Optometrist
1935 STATE ROAD 436 STE 1001
WINTER PARK, FL 32792
Orange County (407) 671-0960

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 James Podschun's NPI number?

The NPI number for James Podschun is 1003804121. It was assigned to this individual provider in the NPPES registry on October 12, 2005. The provider is also known as James A Podschun Od PA.

Where is James Podschun located?

James Podschun practices at 1935 State Road 436 Ste 1001, Winter Park, FL 32792. The listed phone number is (407) 671-0960.

What is James Podschun's specialty?

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

Is James Podschun enrolled in Medicare?

Yes. James Podschun 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.

Which organization bills Medicare for James Podschun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Podschun reassigns Medicare benefits to James A Podschun Od PA (Winter Park, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Podschun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does James Podschun hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2069244) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James Podschun accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and AvMed and 14 other insurers list James Podschun 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 James Podschun was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.