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DR. JAMES IRA SOWDERS OD
NPI 1174546741
Optometrist in Bedford, IN

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1615 O ST, BEDFORD, IN 47421(812) 275-6155(812) 278-9405 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Ira Sowders Od NPPES

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

DR. JAMES IRA SOWDERS OD (NPI 1174546741) is an individual optometrist in Bedford, Indiana, licensed in Indiana (18002066A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1983).

NPPES Registry Identity

NPI1174546741
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES IRA SOWDERSCredential: OD
Location Address1615 O STBedford, IN 47421-4116
Mailing Address1615 O StBedford, IN 47421-4116 · (812) 275-6155 · Fax (812) 278-9405
Phone(812) 275-6155
Fax(812) 278-9405
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1983
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 26, 2008
✔ NPI 1174546741 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 IN · 18002066A
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.
1615 O ST, Bedford, IN 47421
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Other Identifiers 5

Medicare PIN194220AIN
Other000000223127IN · Anthem
Medicaid100166710AIN
Medicare UPINT34868IN
Medicare NSC4881170001IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Dr. James Ira Sowders 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 ID1557476579
PECOS Enrollment IDI20120131000089
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 7

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.
465 services242 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.
379 services356 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.
344 services342 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.
142 services92 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.
94 services86 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
73 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47421 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier35 claims35 services$51.89 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims34 services$56.92 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 3

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

JIM I SOWDERS OD PC
Optometrist
1615 O ST
BEDFORD, IN 47421
Lawrence County (812) 275-6155
ROPE OPTOMETRY LLC
Optometrist
1615 O ST
BEDFORD, IN 47421
Lawrence County (812) 275-6155
ANDREA M ROPE O.D.
Optometrist
1615 O ST
BEDFORD, IN 47421
Lawrence County (812) 275-6155

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 Sowders's NPI number?

The NPI number for James Sowders is 1174546741. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Sowders located?

James Sowders practices at 1615 O St, Bedford, IN 47421. The listed phone number is (812) 275-6155.

What is James Sowders's specialty?

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

Is James Sowders enrolled in Medicare?

Yes. James Sowders 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 Sowders accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list James Sowders 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 Sowders was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.