WILLIAM SCOTT ATHANS OD
NPI 1417902156
Optometrist in Pinehurst, NC

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
96.96/100
CMS Quality Rating
160 FOX HOLLOW, SPECTRUM FAMILY EYE CENTER, PINEHURST, NC 28374(910) 692-3937(910) 692-5908 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Scott Athans Od NPPES

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

WILLIAM SCOTT ATHANS OD (NPI 1417902156) is an individual optometrist in Pinehurst, North Carolina, licensed in North Carolina (1486) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1993).

NPPES Registry Identity

NPI1417902156
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWILLIAM SCOTT ATHANSCredential: OD
Location Address160 FOX HOLLOW, SPECTRUM FAMILY EYE CENTERPinehurst, NC 28374
Mailing Address160 Fox Hollow, Spectrum Family Eye CenterPinehurst, NC 28374 · (910) 692-3937 · Fax (910) 692-5908
Fax(910) 692-5908
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1993
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 10, 2011
NPI 1417902156 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 · 1486
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.
160 FOX HOLLOW, Pinehurst, NC 28374

Other Identifiers 6

OtherP00104154NC · Railroad Medicare
Medicare UPINU44960NC
Medicaid8909101NC
Other9101NC · Bcbs
Medicare NSC4443160001NC
Medicare PIN2468657CNC

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

William Scott Athans 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 ID3072627306
PECOS Enrollment IDI20110901000349
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 11

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 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.
736 services687 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.
322 services247 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.
219 services196 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).
162 services159 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.
122 services119 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
104 services103 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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.

96.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.92
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
91%322 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
54%57 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
98%332 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%4,273 patients4/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%56 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 725 patients
Patients screened: 100% · 725 patients
18%39 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%267 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
71%151 patients
Tobacco Use and Help with Quitting Among Adolescents
94%107 patients3/55-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 3

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

Optometrist
160 FOX HOLLOW, SUITE 100 SPECTRUM FAMILY EYE CENTER
PINEHURST, NC 28374
Optometrist
160 FOX HOLLOW, SPECTRUM FAMILY EYE CENTER SUITE 100
PINEHURST, NC 28374
Optometrist
160 FOX HOLLOW
PINEHURST, NC 28374

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 William Athans's NPI number?

The NPI number for William Athans is 1417902156. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is William Athans located?

William Athans practices at 160 Fox Hollow Spectrum Family Eye Center, Pinehurst, NC 28374. The listed phone number is (910) 692-3937.

What is William Athans's specialty?

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

Is William Athans enrolled in Medicare?

Yes. William Athans 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 William Athans accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Providence Health Plan and UnitedHealthcare list William Athans 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 William Athans was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.