JOHN D TWELKER OD, PHD
NPI 1255405940
Optometrist in Tucson, AZ

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
707 N ALVERNON WAY STE 301, TUCSON, AZ 85711(520) 694-1460(520) 694-1464 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John D Twelker Od, Phd NPPES

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

JOHN D TWELKER OD, PHD (NPI 1255405940) is an individual optometrist in Tucson, Arizona, licensed in Arizona (1202) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1992).

NPPES Registry Identity

NPI1255405940
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN D TWELKERCredential: OD, PHD
Location Address707 N ALVERNON WAY STE 301Tucson, AZ 85711-1848
Mailing Address2701 E Elvira RdTucson, AZ 85756-7124 · (520) 874-3500
Fax(520) 694-1464
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 1992
Enumeration DateNovember 17, 2006
Last NPPES UpdateMay 24, 2010
NPI 1255405940 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 AZ · 1202
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.
707 N ALVERNON WAY STE 301, Tucson, AZ 85711

Other Identifiers 3

Medicare UPINU40871
Medicare ID-Type Unspecified70963
Medicaid709090AZ

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 D Twelker Od, Phd 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 ID3072642321
PECOS Enrollment IDI20210203002871
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 3

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.
105 services105 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.
22 services19 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Optometrist
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Ophthalmology (Glaucoma Specialist)
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Optometrist
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Optometrist
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Ophthalmology
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Ophthalmology
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711
Optometrist
707 N ALVERNON WAY STE 301
TUCSON, AZ 85711

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 Twelker's NPI number?

The NPI number for John Twelker is 1255405940. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is John Twelker located?

John Twelker practices at 707 N Alvernon Way Ste 301, Tucson, AZ 85711. The listed phone number is (520) 694-1460.

What is John Twelker's specialty?

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

Is John Twelker enrolled in Medicare?

Yes. John Twelker 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 Twelker accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Providence Health Plan list John Twelker 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 Twelker was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.