DR. JOHN PHILIP NAIL JR. O.D.
NPI 1174878052
Optometrist in Columbus, MS

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1823 5TH ST N, COLUMBUS, MS 39705(662) 231-9293(662) 327-5950 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Philip Nail Jr. O.d. NPPES

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

DR. JOHN PHILIP NAIL JR. O.D. (NPI 1174878052) is an individual optometrist in Columbus, Mississippi, licensed in Mississippi (852) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1174878052
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN PHILIP NAIL JR.Credential: O.D.
Location Address1823 5TH ST NColumbus, MS 39705-2203
Mailing AddressPo Box 9099Columbus, MS 39705-0038 · (662) 328-5225 · Fax (662) 327-5950
Fax(662) 327-5950
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateJuly 8, 2019
NPI 1174878052 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 MS · 852
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.
1823 5TH ST N, Columbus, MS 39705

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

Dr. John Philip Nail Jr. 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 ID3274782404
PECOS Enrollment IDI20121004000076
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 10

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.
491 services490 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.
328 services244 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.
162 services144 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).
155 services146 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.
104 services104 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.
81 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39705 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%280 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%55 patients5/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
100%35 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,910 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%97 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705
Optometrist
1823 5TH ST N
COLUMBUS, MS 39705

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 Nail's NPI number?

The NPI number for John Nail is 1174878052. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is John Nail located?

John Nail practices at 1823 5th St N, Columbus, MS 39705. The listed phone number is (662) 231-9293.

What is John Nail's specialty?

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

Is John Nail enrolled in Medicare?

Yes. John Nail 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 John Nail accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list John Nail 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 Nail was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.