EUGENE A GUTHRIE O.D.
NPI 1417032038
Optometrist - Pediatrics in Sherman, TX

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4180 TOWN CTR, SHERMAN, TX 75092(903) 868-2020(903) 813-1426 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 6, 2024, Mar 30, 2023, Mar 15, 2023 and 3 more (6 updates tracked since 2021).

About Eugene A Guthrie O.d. NPPES

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

EUGENE A GUTHRIE O.D. (NPI 1417032038) is an individual pediatrics provider in Sherman, Texas, licensed in Texas (5216TG) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1993).

NPPES Registry Identity

NPI1417032038
Entity TypeIndividualMale
Primary Taxonomy152WP0200X
Provider Legal NameEUGENE A GUTHRIECredential: O.D.
Location Address4180 TOWN CTRSherman, TX 75092-2567
Mailing Address4180 Town CtrSherman, TX 75092-2567 · (903) 868-2020
Fax(903) 813-1426
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 6, 20246 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1417032038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License Licensed in TX · 5216TG
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometristTaxonomy 152W00000X · License 5216TG (TX)
4180 TOWN CTR, Sherman, TX 75092

Other Identifiers 1

Medicaid160229401TX

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

Eugene A Guthrie 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 ID8527074400
PECOS Enrollment IDI20120522000721
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 10

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.
402 services389 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.
283 services271 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.
147 services147 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.
119 services91 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.
55 services33 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).
39 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Optometrist
4180 TOWN CTR
SHERMAN, TX 75092
Optometrist
4180 TOWN CTR
SHERMAN, TX 75092
Optometrist (Corneal and Contact Management)
4180 TOWN CTR
SHERMAN, TX 75092
Optometrist
4180 TOWN CTR
SHERMAN, TX 75092
Optometrist
4180 TOWN CTR
SHERMAN, TX 75092
Optometrist
4180 TOWN CTR
SHERMAN, TX 75092

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 Eugene Guthrie's NPI number?

The NPI number for Eugene Guthrie is 1417032038. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Eugene Guthrie located?

Eugene Guthrie practices at 4180 Town Ctr, Sherman, TX 75092. The listed phone number is (903) 868-2020.

What is Eugene Guthrie's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Eugene Guthrie enrolled in Medicare?

Yes. Eugene Guthrie 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 Eugene Guthrie 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 7 other insurers list Eugene Guthrie 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 Eugene Guthrie was last updated on May 6, 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.