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WILLIAM DERRICK THORNTON O.D.
NPI 1326069741
Optometrist in Dublin, GA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2400 BELLEVUE ROAD, 18 ERIN OFFICE PARK, DUBLIN, GA 31021(478) 272-5933(478) 272-4350 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Apr 4, 2024 (2 updates tracked since 2024).

About William Derrick Thornton O.d. NPPES

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

WILLIAM DERRICK THORNTON O.D. (NPI 1326069741) is an individual optometrist in Dublin, Georgia, licensed in Georgia (OPT002129) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of University Alabama Birmingham - School Of Optometry (1998).

NPPES Registry Identity

NPI1326069741
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWILLIAM DERRICK THORNTONCredential: O.D.
Location Address2400 BELLEVUE ROAD, 18 ERIN OFFICE PARKDublin, GA 31021
Mailing Address2400 Bellevue Road, 18 Erin Office ParkDublin, GA 31021 · (478) 272-5933 · Fax (478) 272-4350
Phone(478) 272-5933
Fax(478) 272-4350
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1998
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1326069741 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 GA · OPT002129
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.
2400 BELLEVUE ROAD, Dublin, GA 31021
Open in Google Maps ↗

Other Identifiers 6

Other100623GA · Avesis
Other34465GA · Opticare
Medicaid907034188AGA
Medicaid907034188BGA
Other966871GA · Blue Cross
OtherP00055084Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Derrick Thornton 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 ID7618040502
PECOS Enrollment IDI20080725000394
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.

Medicare Billing Reassignment

Medicare enrollment records show William Thornton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dublin Eye Associates, P.C.
0.1 mi
Ophthalmology
18 ERIN OFFICE PARK
Dublin, GA 31021
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1205857539 (478) 272-5933

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
409 services311 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.
319 services318 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
189 services189 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).
167 services167 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.
151 services149 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.
117 services115 patients

Hospital Affiliations CMS Care Compare

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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
Individually scored

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 William Thornton's NPI number?

The NPI number for William Thornton is 1326069741. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is William Thornton located?

William Thornton practices at 2400 Bellevue Road 18 Erin Office Park, Dublin, GA 31021. The listed phone number is (478) 272-5933.

What is William Thornton's specialty?

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

Is William Thornton enrolled in Medicare?

Yes. William Thornton 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.

Which organization bills Medicare for William Thornton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Thornton reassigns Medicare benefits to Dublin Eye Associates, P.C. (Dublin, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Thornton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Thornton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list William Thornton 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 William Thornton affiliated with any hospitals?

According to CMS data, William Thornton is affiliated with Fairview Park Hospital.

When was this NPI record last updated?

The NPPES record for William Thornton was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.