JEFFREY ST. JOHN
NPI 1013370832
Ophthalmology in Mobile, AL

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
79.02/100
CMS Quality Rating
601 PROVIDENCE PARK DR E, MOBILE, AL 36695(251) 650-2020(251) 650-1010 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2020, May 15, 2020, Apr 8, 2020 and 1 more (4 updates tracked since 2016).

About Jeffrey St. John NPPES

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

JEFFREY ST. JOHN (NPI 1013370832) is an individual ophthalmology provider in Mobile, Alabama, licensed in Alabama (39380) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2016).

NPPES Registry Identity

NPI1013370832
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJEFFREY ST. JOHN
Location Address601 PROVIDENCE PARK DR EMobile, AL 36695-4617
Mailing Address35 W Lourando DrMobile, AL 36606-2443 · (251) 767-2380
Fax(251) 650-1010
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateJune 11, 20204 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
NPI 1013370832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AL · 39380
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
601 PROVIDENCE PARK DR E, Mobile, AL 36695

Accepted 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

Jeffrey St. John 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 ID5890119671
PECOS Enrollment IDI20200727002467
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 11

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 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.
241 services206 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.
230 services219 patients
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.
171 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
79 services79 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
67 services48 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
66 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

79.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost38.4

Other Providers at the Same Location NPPES 10

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

Eyewear Supplier
601 PROVIDENCE PARK DR E, SUITE O
MOBILE, AL 36695
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Optometrist
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Optometrist
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Ophthalmology (Glaucoma Specialist)
601 PROVIDENCE PARK DR E
MOBILE, AL 36695

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 Jeffrey St. John's NPI number?

The NPI number for Jeffrey St. John is 1013370832. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Jeffrey St. John located?

Jeffrey St. John practices at 601 Providence Park Dr E, Mobile, AL 36695. The listed phone number is (251) 650-2020.

What is Jeffrey St. John's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeffrey St. John enrolled in Medicare?

Yes. Jeffrey St. John 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 Jeffrey St. John accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 9 other insurers list Jeffrey St. John 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 Jeffrey St. John was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.