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DR. RICHARD C JAMES O.D.
NPI 1528052032
Optometrist in East Stroudsburg, PA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
58.09/100
CMS Quality Rating
214 WASHINGTON ST, EAST STROUDSBURG, PA 18301(570) 424-2004(570) 424-2003 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard C James O.d. NPPES

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

DR. RICHARD C JAMES O.D. (NPI 1528052032) is an individual optometrist in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (OEG000232) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1996).

NPPES Registry Identity

NPI1528052032
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD C JAMESCredential: O.D.
Location Address214 WASHINGTON STEast Stroudsburg, PA 18301-2821
Mailing Address550 Po BoxEffort, PA 18330-0550 · (570) 234-6733 · Fax (866) 813-7370
Phone(570) 424-2004
Fax(570) 424-2003
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1996
Enumeration DateSeptember 12, 2005
Last NPPES UpdateDecember 27, 2016
✔ NPI 1528052032 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 PA · OEG000232
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.
214 WASHINGTON ST, East Stroudsburg, PA 18301
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Other Identifiers 6

Medicare ID-Type UnspecifiedJA620113PA
Other5091532PA · Aetna
Other76270PA · Geisinger
Other620113PA · Blue Shield
Other815-691PA · First Priority Health
Medicare UPINU64426PA

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. Richard C James 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 ID9436324878
PECOS Enrollment IDI20111213000448
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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
863 services475 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
361 services354 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
265 services264 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

58.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.17
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
99%164 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
5%2,707 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 28% · 796 patients
28%796 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
89%114 patients
Provide Patients Electronic Access to Their Health Information
0%1,320 patients1/55-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.

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 Richard James's NPI number?

The NPI number for Richard James is 1528052032. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Richard James located?

Richard James practices at 214 Washington St, East Stroudsburg, PA 18301. The listed phone number is (570) 424-2004.

What is Richard James's specialty?

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

Is Richard James enrolled in Medicare?

Yes. Richard James 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.

When was this NPI record last updated?

The NPPES record for Richard James was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.