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DR. RODNEY JACOB GUNN O.D.
NPI 1215222450
Optometrist in Tacoma, WA

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
5821 S SPRAGUE CT, TACOMA, WA 98409(253) 396-4200(253) 396-4260 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2021, Aug 24, 2020 (2 updates tracked since 2020).

About Dr. Rodney Jacob Gunn O.d. NPPES

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

DR. RODNEY JACOB GUNN O.D. (NPI 1215222450) is an individual optometrist in Tacoma, Washington, licensed in Washington (OD60219053) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2011).

NPPES Registry Identity

NPI1215222450
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RODNEY JACOB GUNNCredential: O.D.
Location Address5821 S SPRAGUE CTTacoma, WA 98409-6903
Mailing Address5821 S Sprague CtTacoma, WA 98409-6903 · (253) 396-4200 · Fax (253) 396-4260
Phone(253) 396-4200
Fax(253) 396-4260
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1215222450 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 · OD60219053
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.
5821 S SPRAGUE CT, Tacoma, WA 98409
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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

Dr. Rodney Jacob Gunn 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 ID1951573823
PECOS Enrollment IDI20111019000270
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 Rodney Gunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
20 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

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 98409 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.

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.

KATIE MICHELETTI AUD
Audiologist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4250
CRISTINA ANGELICA JIMENEZ AUD
Audiologist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (800) 586-4779
KATHY THU QUYNH NGUYEN OD
Optometrist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4200
TRANG D HOANG OD
Optometrist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4200
ADAM ROSS OD
Optometrist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4200
LINDSAY M MCGAUGHEY AU.D.
Audiologist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4250
DR. CANDY CRISTIEEN ARIAS CEJA O.D
Optometrist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4200
LINDA TRAN CHAU OD
Optometrist
5821 S SPRAGUE CT
TACOMA, WA 98409
Pierce County (253) 396-4250

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 Rodney Gunn's NPI number?

The NPI number for Rodney Gunn is 1215222450. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Rodney Gunn located?

Rodney Gunn practices at 5821 S Sprague Ct, Tacoma, WA 98409. The listed phone number is (253) 396-4200.

What is Rodney Gunn's specialty?

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

Is Rodney Gunn enrolled in Medicare?

Yes. Rodney Gunn 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 Rodney Gunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Gunn reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, 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 Rodney Gunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rodney Gunn was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.