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DR. JOHN JAMES ROWSEY M.D.
NPI 1164416319
Ophthalmology in Tarpon Springs, FL

Active since September 02, 2005PECOS Enrolled
100/100
CMS Quality Rating
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689(727) 943-3111(727) 943-3334 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John James Rowsey M.d. NPPES

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

DR. JOHN JAMES ROWSEY M.D. (NPI 1164416319) is an individual ophthalmology provider in Tarpon Springs, Florida, licensed in Florida (ME63684) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164416319
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN JAMES ROWSEYCredential: M.D.
Location Address43309 US HIGHWAY 19 NTarpon Springs, FL 34689-6221
Mailing Address43309 Us Highway 19 NTarpon Springs, FL 34689-6221 · (727) 943-3111 · Fax (727) 943-3334
Phone(727) 943-3111
Fax(727) 943-3334
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateSeptember 12, 2014
✔ NPI 1164416319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME63684
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
43309 US HIGHWAY 19 N, Tarpon Springs, FL 34689
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Other Identifiers 9

Other0498542Ghi
Other209530FL · Avmed
Other4476724FL · Cigna
Medicaid057849500FL
Other180037589FL · Rr Medicare
Other219250FL · Amerigroup
Medicare UPINE11053
Medicare ID-Type Unspecified14547FL
Other14547FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John James Rowsey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show John Rowsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Michaels Surgery Center Inc.
17 mi
Ambulatory Surgical
1018 W BAY DR
Largo, FL 33770
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1336100189 (727) 585-2200
St Michaels Eye & Laser Institute Inc
18 mi
Specialist
1030 W BAY DR STE 200
Largo, FL 33770
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1598726325 (727) 585-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34689 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ESTUARDO ALFONSO PONCE M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-2020
BRUCE M KISKADDON M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-3111
ST LUKES SURGICAL CENTER INC
Clinic/Center (Ambulatory Surgical)
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-3111
DR. JAMES PITZER GILLS III M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-3111
ST LUKES SURGICAL CENTER
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-2020
DR. GUSTAVO ENRIQUE GAMERO M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-3111
JEFFREY ALAN WIPFLI M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-2020
DR. MUHAMMAD BAKHTIAR KAYANI M.D.
Ophthalmology
43309 US HIGHWAY 19 N
TARPON SPRINGS, FL 34689
Pinellas County (727) 943-3111

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 John Rowsey's NPI number?

The NPI number for John Rowsey is 1164416319. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is John Rowsey located?

John Rowsey practices at 43309 Us Highway 19 N, Tarpon Springs, FL 34689. The listed phone number is (727) 943-3111.

What is John Rowsey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Rowsey enrolled in Medicare?

Yes. John Rowsey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Rowsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Rowsey reassigns Medicare benefits to 2 organizations: St Michaels Surgery Center Inc. (Largo, FL) and St Michaels Eye & Laser Institute Inc (Largo, FL). Each 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 John Rowsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Rowsey accept?

Health plans from AvMed list John Rowsey 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 John Rowsey was last updated on September 12, 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.