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DR. TED A MCELROY O.D.
NPI 1518959352
Optometrist in Tifton, GA

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
94.41/100
CMS Quality Rating
2012 PINEVIEW AVE, TIFTON, GA 31794(229) 382-4765(229) 382-4819 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ted A Mcelroy O.d. NPPES

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

DR. TED A MCELROY O.D. (NPI 1518959352) is an individual optometrist in Tifton, Georgia, licensed in Georgia (001397) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1518959352
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TED A MCELROYCredential: O.D.
Location Address2012 PINEVIEW AVETifton, GA 31794-3035
Mailing AddressPo Box 1186Tifton, GA 31793-1186 · (229) 382-4765 · Fax (229) 382-4819
Phone(229) 382-4765
Fax(229) 382-4819
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1993
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1518959352 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 GA · 001397
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.
2012 PINEVIEW AVE, Tifton, GA 31794
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Other Identifiers 2

Medicaid00571513BGA
Other410029773GA · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Ted A Mcelroy 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 ID2567598816
PECOS Enrollment IDI20111222000013
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.

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.
2,070 services17 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.
295 services211 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.
114 services82 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.
99 services93 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.
79 services74 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.
36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

94.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.83
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
63%70 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
99%202 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
96%51 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
77%1,690 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%97 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%545 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 2

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

JANINE TRAN NGUYEN O.D.
Optometrist
2012 PINEVIEW AVE
TIFTON, GA 31794
Tift County (229) 382-4765
TED A MCELROY OD, PC
Optometrist
2012 PINEVIEW AVE
TIFTON, GA 31794
Tift County (229) 382-4765

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 Ted Mcelroy's NPI number?

The NPI number for Ted Mcelroy is 1518959352. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Ted Mcelroy located?

Ted Mcelroy practices at 2012 Pineview Ave, Tifton, GA 31794. The listed phone number is (229) 382-4765.

What is Ted Mcelroy's specialty?

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

Is Ted Mcelroy enrolled in Medicare?

Yes. Ted Mcelroy 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 Ted Mcelroy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Ted Mcelroy 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 Ted Mcelroy was last updated on February 25, 2021. 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.