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ASHLEY MICHELLE MCGUFFIN O.D.
NPI 1114379328
Optometrist in Oak Hill, WV

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
140 MAIN ST W, OAK HILL, WV 25901(304) 469-6711 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2020, Jul 12, 2016 (2 updates tracked since 2016).

About Ashley Michelle Mcguffin O.d. NPPES

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

ASHLEY MICHELLE MCGUFFIN O.D. (NPI 1114379328) is an individual optometrist in Oak Hill, West Virginia, licensed in West Virginia (2025-IOD1) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1114379328
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameASHLEY MICHELLE MCGUFFINCredential: O.D.
Location Address140 MAIN ST WOak Hill, WV 25901-2968
Mailing Address140 Main St WOak Hill, WV 25901-2968 · (304) 469-6711
Phone(304) 469-6711
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateJuly 12, 2016
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1114379328 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 WV · 2025-IOD1
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.
140 MAIN ST W, Oak Hill, WV 25901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, 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

Ashley Michelle Mcguffin 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 ID6406141449
PECOS Enrollment IDI20160830000574
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 8

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.

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.
2,522 services20 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.
94 services92 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.
71 services52 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.
69 services69 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.
17 services17 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25901 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 3

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

BYRON J NIBERT DBA SOUTHERN EYE CARE ASSOCIATES
Optometrist
140 MAIN ST W
OAK HILL, WV 25901
Fayette County (304) 469-6711
LORINE MAY MILAM
Technician (Personal Care Attendant)
140 MAIN ST W
OAK HILL, WV 25901
Fayette County (304) 465-3302
MCGUFFIN EYE CARE, PLLC
Optometrist
140 MAIN ST W
OAK HILL, WV 25901
Fayette County (304) 469-6711

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 Ashley Mcguffin's NPI number?

The NPI number for Ashley Mcguffin is 1114379328. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Ashley Mcguffin located?

Ashley Mcguffin practices at 140 Main St W, Oak Hill, WV 25901. The listed phone number is (304) 469-6711.

What is Ashley Mcguffin's specialty?

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

Is Ashley Mcguffin enrolled in Medicare?

Yes. Ashley Mcguffin 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 Ashley Mcguffin accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Ashley Mcguffin 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 Ashley Mcguffin was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.