STEPHEN MAMMOOTTIL JOHN O.D.
NPI 1275763062
Optometrist in Marietta, GA

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3960 SHALLOWFORD RD, #A, MARIETTA, GA 30062(770) 642-4001 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Mammoottil John O.d. NPPES

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

STEPHEN MAMMOOTTIL JOHN O.D. (NPI 1275763062) is an individual optometrist in Marietta, Georgia, licensed in Georgia (2580) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2009).

NPPES Registry Identity

NPI1275763062
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN MAMMOOTTIL JOHNCredential: O.D.
Location Address3960 SHALLOWFORD RD, #AMarietta, GA 30062-5058
Mailing Address3960 Shallowford Rd, #aMarietta, GA 30062-5058
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateMarch 8, 2011
NPI 1275763062 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 GA · 2580 Licensed in OH · 5872
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.

3960 SHALLOWFORD RD, Marietta, GA 30062

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

Stephen Mammoottil John 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 ID3971771106
PECOS Enrollment IDI20110714000248
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 6

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 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.
345 services250 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.
316 services312 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).
94 services93 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.
91 services82 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.
59 services59 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.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Optometrist
3960 SHALLOWFORD RD, SUITE A
MARIETTA, GA 30062
Optometrist
3960 SHALLOWFORD RD, SUITE A
MARIETTA, GA 30062

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 Stephen John's NPI number?

The NPI number for Stephen John is 1275763062. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Stephen John located?

Stephen John practices at 3960 Shallowford Rd #a, Marietta, GA 30062. The listed phone number is (770) 642-4001.

What is Stephen John's specialty?

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

Is Stephen John enrolled in Medicare?

Yes. Stephen John 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 Stephen John accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Stephen John 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 Stephen John was last updated on March 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.