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JOHN MCGIFFIN
NPI 1538423223
Optometrist in Lynden, WA

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
1824 FRONT ST, SUITE B, LYNDEN, WA 98264(360) 933-1815(360) 933-4617 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Mcgiffin NPPES

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

JOHN MCGIFFIN (NPI 1538423223) is an individual optometrist in Lynden, Washington, licensed in Washington (OD60291226) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2012).

NPPES Registry Identity

NPI1538423223
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN MCGIFFIN
Location Address1824 FRONT ST, SUITE BLynden, WA 98264-1729
Mailing Address1824 Front St, Suite BLynden, WA 98264-1729 · (360) 933-1815 · Fax (360) 933-4617
Phone(360) 933-1815
Fax(360) 933-4617
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2012
Enumeration DateJune 27, 2012
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1538423223 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 WA · OD60291226
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.
1824 FRONT ST, Lynden, WA 98264
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Other Identifiers 9

Medicaid2020069WA
Medicare PING8917233WA
Medicare NSC6924350001WA
Medicaid2006334WA
Medicaid2006335WA
Medicaid1024566WA
Medicaid2014245WA
Medicare PING8917234WA
Medicare PING8917235WA

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

John Mcgiffin 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 ID7618126541
PECOS Enrollment IDI20121009000240
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 4

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.
47 services46 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.
38 services20 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.
34 services34 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98264 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

DR. STEVEN KENNETH KORTHUIS DPT
Physical Therapist
1824 FRONT ST, STE A
LYNDEN, WA 98264
Whatcom County (360) 354-0585
VISION PLUS IN LYNDEN
Optometrist
1824 FRONT ST, SUITE B
LYNDEN, WA 98264
Whatcom County (360) 933-1815
SCOTT WILLIAM LYON DPT
Physical Therapist
1824 FRONT ST, SUITE A
LYNDEN, WA 98264
Whatcom County (360) 354-0585

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 John Mcgiffin's NPI number?

The NPI number for John Mcgiffin is 1538423223. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is John Mcgiffin located?

John Mcgiffin practices at 1824 Front St Suite B, Lynden, WA 98264. The listed phone number is (360) 933-1815.

What is John Mcgiffin's specialty?

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

Is John Mcgiffin enrolled in Medicare?

Yes. John Mcgiffin 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 John Mcgiffin 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, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list John Mcgiffin 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 John Mcgiffin was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.