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JOEL P. CAUSEY OD
NPI 1326472291
Optometrist in Chinle, AZ

Active since August 28, 2013PECOS Enrolled
84.24/100
CMS Quality Rating
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503(928) 674-7166(928) 674-7705 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joel P. Causey Od NPPES

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

JOEL P. CAUSEY OD (NPI 1326472291) is an individual optometrist in Chinle, Arizona, licensed in New Mexico (OPT-2024-0002) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326472291
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOEL P. CAUSEYCredential: OD
Location AddressHIGHWAY 191 AND HOSPITAL ROADChinle, AZ 86503
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7166 · Fax (928) 674-7705
Phone(928) 674-7166
Fax(928) 674-7705
Sole ProprietorNo
Enumeration DateAugust 28, 2013
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1326472291 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 NM · OPT-2024-0002✔ Licensed in VA · 0618002253
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.
HIGHWAY 191 AND HOSPITAL ROAD, Chinle, AZ 86503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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 (PECOS)

Joel P. Causey Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Joel Causey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
1.6 mi
General Acute Care Hospital
OFF HWY 191 HOSPITAL ROAD
Chinle, AZ 86503
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1508800129 (928) 674-7001

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86503 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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.91
Promoting Interoperability98
Improvement Activities40
Cost67.56

Other Providers at the Same Location NPPES 20

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

ALICE A. HOPPER DPT
Physical Therapist
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ 86503
Apache County (928) 674-7552
AMANDA GELMAN MD
Internal Medicine
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
ANNE K WHITIS P.T.
Physical Therapist
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ 86503
Apache County (928) 674-7166
KRISTIN MARIE YEOMAN MD
Internal Medicine
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
DR. WENDY JW FERRELL OTD
Occupational Therapist
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
MICHAEL LEE FROM MD
Pediatrics
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7001
MCQUEEN SUEN DPM
Podiatrist
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
JACQUELINE SELIG ANP
Nurse Practitioner (Adult Health)
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166

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 Joel Causey's NPI number?

The NPI number for Joel Causey is 1326472291. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Joel Causey located?

Joel Causey practices at Highway 191 And Hospital Road, Chinle, AZ 86503. The listed phone number is (928) 674-7166.

What is Joel Causey's specialty?

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

Is Joel Causey enrolled in Medicare?

Yes. Joel Causey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joel Causey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Causey reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Chinle, AZ). 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 Joel Causey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Causey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Joel Causey 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 Joel Causey was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.