ROY MAX RAYNOR JR. OD
NPI 1396793477
Optometrist in Benson, NC

Q: What is Roy Raynor's NPI number?

The NPI number for Roy Raynor is 1396793477. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Roy Raynor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roy Raynor was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

113 W MAIN ST, BENSON, NC 27504(919) 894-7570(919) 894-4674 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Jul 9, 2019, Feb 7, 2017 (3 updates tracked since 2017).

On this page

About Roy Max Raynor Jr. Od NPPES

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

ROY MAX RAYNOR JR. OD (NPI 1396793477) is an individual optometrist in Benson, North Carolina, licensed in North Carolina (1198) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1985).

NPPES Registry Identity

NPI1396793477

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameROY MAX RAYNOR JR.Credential: OD

Location Address113 W MAIN STBenson, NC 27504-1343

Mailing Address113 W Main StBenson, NC 27504-1343 · (919) 894-7570 · Fax (919) 894-4674

Phone(919) 894-7570

Fax(919) 894-4674

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1985

Enumeration DateMay 4, 2006

Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1396793477 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 NC · 1198

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.

113 W MAIN ST, Benson, NC 27504

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Other Identifiers 2

Other09761NC · Bcbs

Other02478NC · Spectera

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Roy Max Raynor Jr. 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 ID5597736108

PECOS Enrollment IDI20040805000314

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 14

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.

314 services307 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.

86 services77 patients

Complete ultrasound of within the brain blood flow 93886

A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.

82 services82 patients

Ultrasound of within the brain blood flow for blood clots 93892

An ultrasound of the brain's blood flow is a safe, non-invasive procedure that uses sound waves to create images of the blood vessels. This helps identify any blockages, like blood clots, that might disrupt normal blood flow and cause health issues.

81 services81 patients

Ultrasound of within the brain blood flow following medication 93890

An ultrasound of the brain's blood flow after medication is a non-invasive procedure that uses sound waves to create images of the blood flow within your brain. This helps monitor how the medication is affecting your brain's blood circulation.

80 services80 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.

68 services68 patients

Measurement of eye artery pressure 92260

Measurement of eye artery pressure, also known as ocular blood flow, helps assess the amount of blood reaching your eyes. It's crucial for maintaining healthy eyesight. A special device gently touches your eye to measure the pressure. It's a painless, quick procedure.

62 services62 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).

55 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

52 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services28 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.

30 services29 patients

Multiple measurements of eye fluid pressure over an extended time period 92100

This procedure involves recording the pressure inside your eyes at different times throughout the day. By tracking these changes, it can help detect conditions like glaucoma early, which can prevent vision loss. It's painless and non-invasive.

26 services26 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

24 services18 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27504 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

MCKINLEY CAROLINE JOHNSON

Optometrist