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MR. JAMES M HINKLE O.D.
NPI 1083606792
Optometrist in Riverton, WY

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
82.8/100
CMS Quality Rating
300 N BROADWAY AVE, RIVERTON, WY 82501(307) 856-9451(307) 856-8548 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James M Hinkle O.d. NPPES

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

MR. JAMES M HINKLE O.D. (NPI 1083606792) is an individual optometrist in Riverton, Wyoming, licensed in Wyoming (221T) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1994).

NPPES Registry Identity

NPI1083606792
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. JAMES M HINKLECredential: O.D.
Location Address300 N BROADWAY AVERiverton, WY 82501-3545
Mailing Address300 N Broadway AveRiverton, WY 82501-3545 · (307) 856-9451 · Fax (307) 856-8548
Phone(307) 856-9451
Fax(307) 856-8548
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1994
Enumeration DateAugust 18, 2005
Last NPPES UpdateApril 10, 2014
✔ NPI 1083606792 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 WY · 221T
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.
300 N BROADWAY AVE, Riverton, WY 82501
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedW306809WY
Other0762340001WY · Cigna Medicare
Medicare UPINU52143WY
Medicaid110184600WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.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

Mr. James M Hinkle 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 ID7214936426
PECOS Enrollment IDI20111101000410
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 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.
403 services398 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.
198 services156 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.
173 services135 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.
139 services138 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.
128 services92 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
117 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82501 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

82.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.61
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
1%162 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
87%38 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%459 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%62 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
61%409 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 29 patients
97%29 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
49%43 patients
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 5

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

DR. BRIAN J BALLARD O.D.
Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501
Fremont County (307) 856-9451
JOHN D FERRIS PC
General Practice
300 N BROADWAY AVE
RIVERTON, WY 82501
Fremont County (307) 856-0009
JOHN D FERRIS MD
General Practice
300 N BROADWAY AVE
RIVERTON, WY 82501
Fremont County (307) 856-0009
DR. CHRISTOPHER C FRAZIER OD
Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501
Fremont County (307) 856-9451
RIVERTON VISION CENTER P.C.
Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501
Fremont County (307) 856-9451

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 Hinkle's NPI number?

The NPI number for James Hinkle is 1083606792. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is James Hinkle located?

James Hinkle practices at 300 N Broadway Ave, Riverton, WY 82501. The listed phone number is (307) 856-9451.

What is James Hinkle's specialty?

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

Is James Hinkle enrolled in Medicare?

Yes. James Hinkle 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 Hinkle accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list James Hinkle 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 Hinkle was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.