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JOSEPH DANIEL GILBUENA O.D.
NPI 1356505960
Optometrist in Phoenix, AZ

Active since July 12, 2008PECOS EnrolledAccepts Medicare Assignment
1010 EAST MCDOWELL RD, STE 301, PHOENIX, AZ 85006(602) 222-2234(866) 985-7247 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2021, Nov 9, 2018, Dec 14, 2015 (3 updates tracked since 2015).

About Joseph Daniel Gilbuena O.d. NPPES

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

JOSEPH DANIEL GILBUENA O.D. (NPI 1356505960) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (2039) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Casa Grande, and is a graduate of Pacific University - College Of Optometry (2008).

NPPES Registry Identity

NPI1356505960
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSEPH DANIEL GILBUENACredential: O.D.
Location Address1010 EAST MCDOWELL RD, STE 301Phoenix, AZ 85006-2609
Mailing Address1425 S Alma School Rd Ste 103Mesa, AZ 85210-2000 · (480) 615-9010
Phone(602) 222-2234
Fax(866) 985-7247
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2008
Enumeration DateJuly 12, 2008
Last NPPES UpdateFebruary 28, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1356505960 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 AZ · 2039✔ Licensed in OH · T3003✔ Licensed in OR · 3264ATI
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.
1010 EAST MCDOWELL RD, Phoenix, AZ 85006
Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 E Florence Blvd Ste 2Casa Grande, AZ 85122-4842 · Phone (520) 426-1600 · Fax (520) 426-1608

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield 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

Joseph Daniel Gilbuena 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 ID9931361193
PECOS Enrollment IDI20151216000844
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 Joseph Gilbuena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vista Eye Care, Plc
128 mi
Ophthalmology
560 E CONTINENTAL RD, STE 104
Green Valley, AZ 85614
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1225241961 (520) 625-5673

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 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 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.
63 services63 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.
58 services58 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.
34 services30 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.
20 services20 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.
11 services11 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).
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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.

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 Joseph Gilbuena's NPI number?

The NPI number for Joseph Gilbuena is 1356505960. It was assigned to this individual provider in the NPPES registry on July 12, 2008.

Where is Joseph Gilbuena located?

Joseph Gilbuena practices at 1010 East Mcdowell Rd Ste 301, Phoenix, AZ 85006. The listed phone number is (602) 222-2234.

What is Joseph Gilbuena's specialty?

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

Is Joseph Gilbuena enrolled in Medicare?

Yes. Joseph Gilbuena 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 Joseph Gilbuena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gilbuena reassigns Medicare benefits to Vista Eye Care, Plc (Green Valley, 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 Joseph Gilbuena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Gilbuena accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming and 12 other insurers list Joseph Gilbuena 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 Joseph Gilbuena was last updated on February 28, 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.