JOHN T DUGAN II MD FAAO PA
NPI 1356340574
Ophthalmology in Corpus Christi, TX

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
99.99/100
CMS Quality Rating
900 MORGAN AVE, CORPUS CHRISTI, TX 78404(361) 888-4288(361) 888-4293 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John T Dugan Ii Md Faao Pa NPPES

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

JOHN T DUGAN II MD FAAO PA (NPI 1356340574) is an individual ophthalmology provider in Corpus Christi, Texas, licensed in Texas (E1306) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1971).

NPPES Registry Identity

NPI1356340574
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN T DUGAN IICredential: MD FAAO PA
Location Address900 MORGAN AVECorpus Christi, TX 78404-2028
Mailing AddressPo Box 3827Corpus Christi, TX 78463-3827 · (361) 884-8878 · Fax (361) 884-2020
Fax(361) 888-4293
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1971
Enumeration DateJuly 19, 2005
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1356340574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · E1306
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
900 MORGAN AVE, Corpus Christi, TX 78404

Other Identifiers 3

MedicaidPO84V0704TX
Other74-2683083TX · Tax Id
Other742021064TX · Tax Id

Accepted 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

John T Dugan Ii Md Faao Pa 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 ID8123181260
PECOS Enrollment IDI20100108000185
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 John Dugan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
900 MORGAN AVE
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group

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 8

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 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.
329 services283 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.
187 services185 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.
73 services73 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
28 services19 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.
21 services19 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78404 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

99.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.97
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 8

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

Ophthalmology
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Ophthalmology
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Ophthalmology
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Optometrist
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Optometrist
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Clinic/Center (Ambulatory Surgical)
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Optometrist
900 MORGAN AVE
CORPUS CHRISTI, TX 78404
Ophthalmology
900 MORGAN AVE
CORPUS CHRISTI, TX 78404

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 John Dugan's NPI number?

The NPI number for John Dugan is 1356340574. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is John Dugan located?

John Dugan practices at 900 Morgan Ave, Corpus Christi, TX 78404. The listed phone number is (361) 888-4288.

What is John Dugan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Dugan enrolled in Medicare?

Yes. John Dugan 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 John Dugan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dugan reassigns Medicare benefits to Jacob J Moore MD PA (Corpus Christi, TX). 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 John Dugan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dugan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list John Dugan 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 John Dugan was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.