DR. GARY JAY LAVALLEY O.D.
NPI 1285676205
Optometrist in Henryetta, OK

Q: What is Gary Lavalley's NPI number?

The NPI number for Gary Lavalley is 1285676205. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Henryetta Eye Center.

Q: What is Gary Lavalley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Lavalley was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 12, 2006PECOS Enrolled

89.12/100

CMS Quality Rating

900 W MAIN ST, HENRYETTA, OK 74437(918) 652-2345(918) 652-2537 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Jay Lavalley O.d. NPPES

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

DR. GARY JAY LAVALLEY O.D. (NPI 1285676205) is an individual optometrist in Henryetta, Oklahoma, licensed in Oklahoma (2071) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285676205

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GARY JAY LAVALLEYCredential: O.D.

Location Address900 W MAIN STHenryetta, OK 74437-4252

Mailing Address900 W Main StHenryetta, OK 74437-4252 · (918) 652-2345 · Fax (918) 652-2537

Phone(918) 652-2345

Fax(918) 652-2537

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 12, 2006

Last NPPES UpdateSeptember 13, 2012

✔ NPI 1285676205 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 OK · 2071

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.

900 W MAIN ST, Henryetta, OK 74437

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Other Names 1

Professional Name (2)Henryetta Eye Center

Other Identifiers 6

Medicaid100764630AOK

Medicare PINOK700050OK

Other410003624OK · Rail Road Medicare

Medicare UPINU34127OK

OtherP00626582OK · Railroad Medicare

Medicare PIN$$$$$$$$$POK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Dr. Gary Jay Lavalley O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062582661

PECOS Enrollment IDI20080609000775

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.

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.

363 services345 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.

334 services331 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.

182 services130 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

43 services26 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.

38 services38 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).

38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74437 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

89.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.65

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

42%50 patients2/55-star benchmark: 87%

Diabetes: Eye Exam

100%100 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

68%28 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

79%803 patients3/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

94%71 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

0%451 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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 supplier35 claims35 services$40.16 avg. paid by Medicare

Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier12 claims24 services$31.55 avg. paid by Medicare

Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier31 claims62 services$30.52 avg. paid by Medicare

Tint, photochromatic, per lens V2744

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier33 claims66 services$16.29 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 6

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

HENRYETTA EYE CENTER

Optometrist