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JOEL HOWARD MCGAHEN OD
NPI 1033170295
Optometrist in Chambersburg, PA

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.74/100
CMS Quality Rating
422 PHOENIX DR, CHAMBERSBURG, PA 17201(717) 264-4012(717) 264-5745 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel Howard Mcgahen Od NPPES

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

JOEL HOWARD MCGAHEN OD (NPI 1033170295) is an individual optometrist in Chambersburg, Pennsylvania, licensed in Pennsylvania (OEG000370) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1986).

NPPES Registry Identity

NPI1033170295
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOEL HOWARD MCGAHENCredential: OD
Location Address422 PHOENIX DRChambersburg, PA 17201-4537
Mailing Address422 Phoenix DrChambersburg, PA 17201-4537 · (717) 264-4012 · Fax (717) 264-5745
Phone(717) 264-4012
Fax(717) 264-5745
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1986
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1033170295 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 · OEG000370
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.
422 PHOENIX DR, Chambersburg, PA 17201
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Other Identifiers 2

Other410030903PA · Medicare Railroad
OtherDG4563PA · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Joel Howard Mcgahen 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 ID1052306727
PECOS Enrollment IDI20040420001013
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 13

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.
264 services210 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
138 services117 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.
131 services122 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.
127 services127 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
121 services121 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.
98 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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.

84.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.49
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%275 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
95%61 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
91%2,713 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
91%128 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%1,077 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AEG PENNSYLVANIA PROFESSIONAL, INC
Optometrist
422 PHOENIX DR
CHAMBERSBURG, PA 17201
Franklin County (717) 470-7496
JOEL H. MCGAHEN, OD, P.C.
Optometrist
422 PHOENIX DR
CHAMBERSBURG, PA 17201
Franklin County (717) 264-4012

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 Joel Mcgahen's NPI number?

The NPI number for Joel Mcgahen is 1033170295. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Joel Mcgahen located?

Joel Mcgahen practices at 422 Phoenix Dr, Chambersburg, PA 17201. The listed phone number is (717) 264-4012.

What is Joel Mcgahen's specialty?

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

Is Joel Mcgahen enrolled in Medicare?

Yes. Joel Mcgahen 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 Joel Mcgahen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Joel Mcgahen 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 Joel Mcgahen was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.