KACEY JANE GILFORD OD
NPI 1245510379
Optometrist in Phoenix, AZ

Active since August 21, 2011PECOS EnrolledAccepts Medicare Assignment
84.13/100
CMS Quality Rating
4800 N 22ND ST, PHOENIX, AZ 85016(602) 955-1000(602) 508-4830 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2020, Jun 13, 2019, Oct 6, 2018 (3 updates tracked since 2018).

About Kacey Jane Gilford Od NPPES

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

KACEY JANE GILFORD OD (NPI 1245510379) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (OPT-002252) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2011).

NPPES Registry Identity

NPI1245510379
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKACEY JANE GILFORDCredential: OD
Location Address4800 N 22ND STPhoenix, AZ 85016-4701
Mailing Address4800 N 22nd StPhoenix, AZ 85016-4701 · (602) 955-1000 · Fax (602) 508-4830
Fax(602) 508-4830
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2011
Enumeration DateAugust 21, 2011
Last NPPES UpdateFebruary 27, 20203 updates tracked since enumeration
NPI 1245510379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in AZ · OPT-002252 Licensed in CA · 14299
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.
4800 N 22ND ST, Phoenix, AZ 85016

Other Identifiers 1

Medicaid450426AZ

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

Kacey Jane Gilford 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 ID9234383860
PECOS Enrollment IDI20181210001914
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 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.
600 services499 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.
378 services363 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.
266 services251 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).
251 services244 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.
245 services196 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
198 services198 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

84.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.93
Promoting Interoperability100
Improvement Activities40
Cost53.19

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.

Physician Assistant
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016
Ophthalmology (Glaucoma Specialist)
4800 N 22ND ST
PHOENIX, AZ 85016
Optometrist
4800 N 22ND ST
PHOENIX, AZ 85016

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 Kacey Gilford's NPI number?

The NPI number for Kacey Gilford is 1245510379. It was assigned to this individual provider in the NPPES registry on August 21, 2011.

Where is Kacey Gilford located?

Kacey Gilford practices at 4800 N 22nd St, Phoenix, AZ 85016. The listed phone number is (602) 955-1000.

What is Kacey Gilford's specialty?

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

Is Kacey Gilford enrolled in Medicare?

Yes. Kacey Gilford 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 Kacey Gilford accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Imperial Insurance Companies, Inc. and 2 other insurers list Kacey Gilford 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 Kacey Gilford was last updated on February 27, 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.