1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Optometrist
  6. NPI Profile

JAMES LAWSON O.D.
NPI 1023493863
Optometrist in Pittsburgh, PA

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
95.15/100
CMS Quality Rating
1201 BANKSVILLE RD, PITTSBURGH, PA 15216(412) 668-3700 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Lawson O.d. NPPES

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

JAMES LAWSON O.D. (NPI 1023493863) is an individual optometrist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OEG003072) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2015).

NPPES Registry Identity

NPI1023493863
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES LAWSONCredential: O.D.
Location Address1201 BANKSVILLE RDPittsburgh, PA 15216-3009
Mailing Address1201 Banksville RdPittsburgh, PA 15216-3009 · (412) 668-3700
Phone(412) 668-3700
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2015
Enumeration DateJuly 22, 2015
✔ NPI 1023493863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG003072
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.
1201 BANKSVILLE RD, Pittsburgh, PA 15216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

James Lawson 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 ID2264713585
PECOS Enrollment IDI20161228002244
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 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.
60 services31 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
35 services29 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.
19 services19 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15216 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost83.86

Other Providers at the Same Location NPPES 4

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

EYETIQUE OF CLEVELAND
Eyewear Supplier
1201 BANKSVILLE RD
PITTSBURGH, PA 15216
Allegheny County (412) 668-3700
KATHRYN WOESTE
Optometrist
1201 BANKSVILLE RD
PITTSBURGH, PA 15216
Allegheny County (412) 668-3700
MEGHAN DUGAN D.O.
Optometrist
1201 BANKSVILLE RD
PITTSBURGH, PA 15216
Allegheny County (412) 668-3700
LAURA HYDEMAN
Optometrist
1201 BANKSVILLE RD
PITTSBURGH, PA 15216
Allegheny County (412) 668-3700

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 Lawson's NPI number?

The NPI number for James Lawson is 1023493863. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is James Lawson located?

James Lawson practices at 1201 Banksville Rd, Pittsburgh, PA 15216. The listed phone number is (412) 668-3700.

What is James Lawson's specialty?

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

Is James Lawson enrolled in Medicare?

Yes. James Lawson 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 James Lawson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James Lawson 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 Lawson was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.