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DR. BARRY M GAFFNEY OD
NPI 1033102512
Optometrist in Plant City, FL

Active since August 30, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2016155 · Waiver
94.59/100
CMS Quality Rating
2002 S ALEXANDER ST, PLANT CITY, FL 33563(813) 754-3593(813) 754-5464 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Barry M Gaffney Od NPPES

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

DR. BARRY M GAFFNEY OD (NPI 1033102512) is an individual optometrist in Plant City, Florida, licensed in Florida (1410) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 24, 2027, and is a graduate of University Alabama Birmingham - School Of Optometry (1978).

NPPES Registry Identity

NPI1033102512
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BARRY M GAFFNEYCredential: OD
Location Address2002 S ALEXANDER STPlant City, FL 33563-8410
Mailing Address2002 S Alexander StPlant City, FL 33563-8410 · (813) 754-2957
Phone(813) 754-3593
Fax(813) 754-5464
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1978
Enumeration DateAugust 30, 2005
Last NPPES UpdateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1033102512 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 FL · 1410
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.
2002 S ALEXANDER ST, Plant City, FL 33563
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Other Identifiers 1

Medicaid084931600FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Barry M Gaffney Od 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 ID8628079621
PECOS Enrollment IDI20070117000449
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.

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 10D2016155

Barry M Gaffney Od PA · Plant City, FL
Active · expires Jan 24, 2027
CLIA Number10D2016155
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorBarry M. Gaffney
Laboratory Phone(813) 754-3593
Laboratory LocationBarry M Gaffney Od PA2002 S Alexander St, Plant City, FL 33563
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.

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.
333 services237 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.
315 services237 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.
303 services279 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
173 services167 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.
140 services95 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.
118 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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.

94.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.1
Promoting Interoperability100
Improvement Activities40
Cost82.87

Other Providers at the Same Location NPPES 2

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

DANIEL G GAFFNEY OD
Optometrist
2002 S ALEXANDER ST
PLANT CITY, FL 33563
Hillsborough County (813) 856-2020
JEREMY HOLLIS GAFFNEY OD
Optometrist
2002 S ALEXANDER ST
PLANT CITY, FL 33563
Hillsborough County (813) 856-2020

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 Barry Gaffney's NPI number?

The NPI number for Barry Gaffney is 1033102512. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Barry Gaffney located?

Barry Gaffney practices at 2002 S Alexander St, Plant City, FL 33563. The listed phone number is (813) 754-3593.

What is Barry Gaffney's specialty?

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

Is Barry Gaffney enrolled in Medicare?

Yes. Barry Gaffney 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.

Does Barry Gaffney hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2016155) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Barry Gaffney accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Barry Gaffney 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 Barry Gaffney was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.