JAMES A PRATE O.D.
NPI 1114968716
Optometrist in Laurel Springs, NJ

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
1405 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021(856) 228-1171 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James A Prate O.d. NPPES

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

JAMES A PRATE O.D. (NPI 1114968716) is an individual optometrist in Laurel Springs, New Jersey, licensed in New Jersey (27TO00045700) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1114968716
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES A PRATECredential: O.D.
Location Address1405 CHEWS LANDING RDLaurel Springs, NJ 08021-2769
Mailing Address1405 Chews Landing RdLaurel Springs, NJ 08021-2769 · (856) 228-1171
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 29, 2010
NPI 1114968716 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 NJ · 27TO00045700
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.
1405 CHEWS LANDING RD, Laurel Springs, NJ 08021

Other Identifiers 4

Medicare UPINU23960NJ
Medicare PIN026233NJ
Medicare ID-Type Unspecified026233NJ · Medicare
Medicaid1373102NJ

Accepted 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 A Prate 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 ID8921036112
PECOS Enrollment IDI20050729000041
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 6

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 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.
119 services70 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.
77 services64 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.
39 services39 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.
27 services24 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
23 services20 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08021 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 14

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

Internal Medicine
1405 CHEWS LANDING RD, SUITE 14
LAUREL SPRINGS, NJ 08021
Counselor (Professional)
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021
Internal Medicine
1405 CHEWS LANDING RD, STE. 4
LAUREL SPRINGS, NJ 08021
Exclusive Provider Organization
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021
Internal Medicine (Geriatric Medicine)
1405 CHEWS LANDING RD, STE 4
LAUREL SPRINGS, NJ 08021
Family Medicine (Geriatric Medicine)
1405 CHEWS LANDING RD, SUITE 14
LAUREL SPRINGS, NJ 08021
Nurse Practitioner (Psychiatric/Mental Health)
1405 CHEWS LANDING RD
CLEMENTON, NJ 08021
Counselor (Professional)
1405 CHEWS LANDING RD
LINDENWOLD, NJ 08021

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 Prate's NPI number?

The NPI number for James Prate is 1114968716. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is James Prate located?

James Prate practices at 1405 Chews Landing Rd, Laurel Springs, NJ 08021. The listed phone number is (856) 228-1171.

What is James Prate's specialty?

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

Is James Prate enrolled in Medicare?

Yes. James Prate 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 Prate 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 1 other insurer list James Prate 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 Prate was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.