JUSTIN WAYNE KNUCKLES O.D.
NPI 1437684776
Optometrist in New Smyrna Beach, FL

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
415 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169(386) 427-4143(386) 410-2074 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Aug 28, 2018, Apr 24, 2017 (3 updates tracked since 2017).

About Justin Wayne Knuckles O.d. NPPES

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

JUSTIN WAYNE KNUCKLES O.D. (NPI 1437684776) is an individual optometrist in New Smyrna Beach, Florida, licensed in Florida (5394) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437684776
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJUSTIN WAYNE KNUCKLESCredential: O.D.
Location Address415 N CAUSEWAYNew Smyrna Beach, FL 32169-5235
Mailing Address415 N CausewayNew Smyrna Beach, FL 32169-5235 · (386) 427-4143 · Fax (386) 410-2074
Fax(386) 410-2074
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1437684776 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 FL · 5394
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.
415 N CAUSEWAY, New Smyrna Beach, FL 32169

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Justin Wayne Knuckles 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 ID3577814391
PECOS Enrollment IDI20180918002329
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 13

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.
519 services310 patients
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.
413 services399 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.
260 services254 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.
214 services137 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.
165 services139 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).
163 services139 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32169 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Ophthalmology
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Ophthalmology
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Optometrist
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Specialist
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Ophthalmology
415 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169

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 Justin Knuckles's NPI number?

The NPI number for Justin Knuckles is 1437684776. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Justin Knuckles located?

Justin Knuckles practices at 415 N Causeway, New Smyrna Beach, FL 32169. The listed phone number is (386) 427-4143.

What is Justin Knuckles's specialty?

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

Is Justin Knuckles enrolled in Medicare?

Yes. Justin Knuckles 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 Justin Knuckles accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. list Justin Knuckles 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.

Is Justin Knuckles affiliated with any hospitals?

According to CMS data, Justin Knuckles is affiliated with Adventhealth New Smyrna Beach.

When was this NPI record last updated?

The NPPES record for Justin Knuckles was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.