DR. THANH NGUYEN OD
NPI 1396150587
Optometrist in St Petersburg, FL

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
1515 9TH AVE N, ST PETERSBURG, FL 33705(727) 895-2020(727) 823-8796 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 3, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Thanh Nguyen Od NPPES

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

DR. THANH NGUYEN OD (NPI 1396150587) is an individual optometrist in St Petersburg, Florida, licensed in Florida (OPC5044) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Hackensack Meridian School Of Med At Seton Hall (2022).

NPPES Registry Identity

NPI1396150587
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THANH NGUYENCredential: OD
Location Address1515 9TH AVE NSt Petersburg, FL 33705-1224
Mailing Address1515 9th Ave NSt Petersburg, FL 33705-1224 · (727) 895-2020 · Fax (727) 823-8796
Fax(727) 823-8796
Sole ProprietorNo
Medical School CMSHackensack Meridian School Of Med At Seton HallGraduated 2022
Enumeration DateJune 25, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
NPI 1396150587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in FL · OPC5044 Licensed in MD · TA2426
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPC5044 (FL)
1515 9TH AVE N, St Petersburg, FL 33705

Secondary Practice Locations 2

Location 12650 Tampa RdPalm Harbor, FL 34684-3144 · Phone (727) 785-4419 · Fax (727) 789-3351
Location 26036 Park Blvd NPinellas Park, FL 33781-3228 · Phone (727) 549-2105 · Fax (727) 768-0488

Other Identifiers 1

Medicaid15268300FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thanh Nguyen Od 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 ID4688896707
PECOS Enrollment IDI20150908001866
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 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.
207 services195 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
174 services79 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.
131 services110 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.
120 services112 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.
111 services106 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.
92 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33705 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost53.33

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%53 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.

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.

Ophthalmology
1515 9TH AVE N
ST PETERSBURG, FL 33705
Ophthalmology
1515 9TH AVE N
ST PETERSBURG, FL 33705
Ophthalmology
1515 9TH AVE N
ST PETERSBURG, FL 33705
Plastic Surgery
1515 9TH AVE N
ST PETERSBURG, FL 33705
Durable Medical Equipment & Medical Supplies
1515 9TH AVE N
ST PETERSBURG, FL 33705
Ophthalmology
1515 9TH AVE N
ST PETERSBURG, FL 33705

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 Thanh Nguyen's NPI number?

The NPI number for Thanh Nguyen is 1396150587. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Thanh Nguyen located?

Thanh Nguyen practices at 1515 9th Ave N, St Petersburg, FL 33705. The listed phone number is (727) 895-2020.

What is Thanh Nguyen's specialty?

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

Is Thanh Nguyen enrolled in Medicare?

Yes. Thanh Nguyen 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.

What insurance does Thanh Nguyen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Thanh Nguyen 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 Thanh Nguyen was last updated on July 21, 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.