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JAMES MICHAEL PEGG O.D.
NPI 1093167157
Optometrist in Grenada, MS

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
600 OLD HICKORY RD, GRENADA, MS 38901(662) 229-6038(662) 226-7027 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Michael Pegg O.d. NPPES

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

JAMES MICHAEL PEGG O.D. (NPI 1093167157) is an individual optometrist in Grenada, Mississippi, licensed in Mississippi (938) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1093167157
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES MICHAEL PEGGCredential: O.D.
Location Address600 OLD HICKORY RDGrenada, MS 38901-2727
Mailing Address141 Shadow Wood CvGrenada, MS 38901-9220 · (662) 229-6038 · Fax (662) 226-7027
Phone(662) 229-6038
Fax(662) 226-7027
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2016
Enumeration DateJuly 12, 2016
✔ NPI 1093167157 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 MS · 938
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.

600 OLD HICKORY RD, Grenada, MS 38901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 Michael Pegg 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 ID7315232345
PECOS Enrollment IDI20160830000224
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 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.

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.
349 services349 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.
223 services222 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.
187 services130 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
103 services103 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.
75 services54 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
43 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38901 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
91%35 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier28 claims28 services$59.24 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier20 claims40 services$40.61 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier30 claims60 services$15.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CARL J MARASCALCO OD
Optometrist
600 OLD HICKORY RD
GRENADA, MS 38901
Grenada County (662) 226-7010
20 20 EYE CARE INC
Eyewear Supplier
600 OLD HICKORY RD
GRENADA, MS 38901
Grenada County (662) 226-7010
20-20 EYECARE OF GRENADA PA
Optometrist
600 OLD HICKORY RD
GRENADA, MS 38901
Grenada County (662) 226-7010
DR. CHRISTOPHER THOMAS WALLS O.D.
Optometrist
600 OLD HICKORY RD
GRENADA, MS 38901
Grenada County (662) 226-7010

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 Pegg's NPI number?

The NPI number for James Pegg is 1093167157. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is James Pegg located?

James Pegg practices at 600 Old Hickory Rd, Grenada, MS 38901. The listed phone number is (662) 229-6038.

What is James Pegg's specialty?

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

Is James Pegg enrolled in Medicare?

Yes. James Pegg 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 Pegg accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list James Pegg 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 Pegg was last updated on July 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.