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DANIEL G GAFFNEY OD
NPI 1265866149
Optometrist in Plant City, FL

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
94.59/100
CMS Quality Rating
2002 S ALEXANDER ST, PLANT CITY, FL 33563(813) 856-2020(813) 754-5464 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2022, Oct 25, 2019 (2 updates tracked since 2019).

About Daniel G Gaffney Od NPPES

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

DANIEL G GAFFNEY OD (NPI 1265866149) is an individual optometrist in Plant City, Florida, licensed in Florida (OPC4900) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Zephyrhills, and is a graduate of University Alabama Birmingham - School Of Optometry (2013).

NPPES Registry Identity

NPI1265866149
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDANIEL G GAFFNEYCredential: OD
Location Address2002 S ALEXANDER STPlant City, FL 33563-8410
Mailing Address403 Vonderburg DrBrandon, FL 33511-5982 · (813) 681-1122 · Fax (813) 684-4924
Phone(813) 856-2020
Fax(813) 754-5464
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2013
Enumeration DateAugust 27, 2013
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1265866149 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 FL · OPC4900
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.
2002 S ALEXANDER ST, Plant City, FL 33563
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Secondary Practice Location 1

Location 138101 Market SqZephyrhills, FL 33542-7505 · Phone (813) 715-0195 · Fax (813) 355-5049

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Daniel G Gaffney 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 ID8224254636
PECOS Enrollment IDI20140721001674
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 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.
147 services114 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.
137 services105 patients
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.
107 services103 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.
70 services49 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).
46 services41 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.1
Promoting Interoperability100
Improvement Activities40
Cost82.87

Other Providers at the Same Location NPPES 2

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

DR. BARRY M GAFFNEY OD
Optometrist
2002 S ALEXANDER ST
PLANT CITY, FL 33563
Hillsborough County (813) 754-3593
JEREMY HOLLIS GAFFNEY OD
Optometrist
2002 S ALEXANDER ST
PLANT CITY, FL 33563
Hillsborough County (813) 856-2020

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 Daniel Gaffney's NPI number?

The NPI number for Daniel Gaffney is 1265866149. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Daniel Gaffney located?

Daniel Gaffney practices at 2002 S Alexander St, Plant City, FL 33563. The listed phone number is (813) 856-2020.

What is Daniel Gaffney's specialty?

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

Is Daniel Gaffney enrolled in Medicare?

Yes. Daniel Gaffney 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 Daniel Gaffney accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Montana and 7 other insurers list Daniel Gaffney 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 Daniel Gaffney was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.