JOHN A LOWERY MD
NPI 1255352035
Ophthalmology in Gastonia, NC

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2325 ABERDEEN BLVD, STE A, GASTONIA, NC 28054(704) 853-3937(704) 853-8029 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John A Lowery Md NPPES

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

JOHN A LOWERY MD (NPI 1255352035) is an individual ophthalmology provider in Gastonia, North Carolina, licensed in North Carolina (2012-02171) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of University Of Arkansas College Of Medicine (1997).

NPPES Registry Identity

NPI1255352035
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN A LOWERYCredential: MD
Location Address2325 ABERDEEN BLVD, STE AGastonia, NC 28054-0624
Mailing Address2325 Aberdeen Blvd, Ste AGastonia, NC 28054-0624 · (704) 853-3937 · Fax (704) 853-8029
Fax(704) 853-8029
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1997
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 12, 2012
NPI 1255352035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2012-02171 Licensed in IL · 036104884
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.

2325 ABERDEEN BLVD, Gastonia, NC 28054

Other Identifiers 4

Medicare UPINH40739IL
Medicare NSC6447860011IL
Medicare PINIL3270453IL
Medicare UPINH40739

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

John A Lowery Md 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 ID5092840496
PECOS Enrollment IDI20130312000312
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 14

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.
257 services253 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
192 services128 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
182 services119 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.
142 services133 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
137 services96 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
80 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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 supplier33 claims33 services$60.70 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims31 services$38.72 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 supplier17 claims31 services$49.28 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 10

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

Optometrist
2325 ABERDEEN BLVD, SUITE A
GASTONIA, NC 28054
Optometrist
2325 ABERDEEN BLVD
GASTONIA, NC 28054
Ophthalmology
2325 ABERDEEN BLVD, STE A
GASTONIA, NC 28054
Ophthalmology
2325 ABERDEEN BLVD, STE A
GASTONIA, NC 28054
Ophthalmology
2325 ABERDEEN BLVD, STE A
GASTONIA, NC 28054
Ophthalmology
2325 ABERDEEN BLVD, STE A
GASTONIA, NC 28054
Optometrist
2325 ABERDEEN BLVD
GASTONIA, NC 28054
Eyewear Supplier
2325 ABERDEEN BLVD, STE A
GASTONIA, NC 28054

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 Lowery's NPI number?

The NPI number for John Lowery is 1255352035. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Lowery located?

John Lowery practices at 2325 Aberdeen Blvd Ste A, Gastonia, NC 28054. The listed phone number is (704) 853-3937.

What is John Lowery's specialty?

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

Is John Lowery enrolled in Medicare?

Yes. John Lowery 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 Lowery accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC and Providence Health Plan list John Lowery 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.

Is John Lowery affiliated with any hospitals?

According to CMS data, John Lowery is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Lowery was last updated on December 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.