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JAMES PHELAN OD
NPI 1124653464
Optometrist in Deer Park, WA

Active since March 06, 2020PECOS EnrolledAccepts Medicare Assignment
14 N. VERNON AVE., DEER PARK, WA 99006(509) 276-0026 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Phelan Od NPPES

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

JAMES PHELAN OD (NPI 1124653464) is an individual optometrist in Deer Park, Washington, licensed in Washington (61023496) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1995).

NPPES Registry Identity

NPI1124653464
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES PHELANCredential: OD
Location Address14 N. VERNON AVE.Deer Park, WA 99006
Mailing AddressPo Box 1329Deer Park, WA 99006-1329 · (509) 276-0026
Phone(509) 276-0026
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1995
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1124653464 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 WA · 61023496
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.
14 N. VERNON AVE., Deer Park, WA 99006
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Phelan 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 ID446669592
PECOS Enrollment IDI20210503001162
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.

Medicare Billing Reassignment

Medicare enrollment records show James Phelan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Washington Eyecare
25 mi
Optometrist
205 S WASHINGTON AVE
Newport, WA 99156
  • Reassigned Medicare billing, Washington enrollment
  • 23 clinicians in this Medicare group
NPI 1629638929 (509) 447-2945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
93 services92 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.
58 services55 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.
33 services33 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.
33 services32 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.
33 services30 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.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99006 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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 Phelan's NPI number?

The NPI number for James Phelan is 1124653464. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is James Phelan located?

James Phelan practices at 14 N. Vernon Ave., Deer Park, WA 99006. The listed phone number is (509) 276-0026.

What is James Phelan's specialty?

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

Is James Phelan enrolled in Medicare?

Yes. James Phelan 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.

Which organization bills Medicare for James Phelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Phelan reassigns Medicare benefits to Northeastern Washington Eyecare (Newport, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Phelan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list James Phelan 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 Phelan was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.