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WESLEY PACE
NPI 1548795636
Ophthalmology in Covington, GA

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
76.33/100
CMS Quality Rating
4159 MILL ST NE, COVINGTON, GA 30014(770) 786-1234(770) 385-0813 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 8, 2021, Apr 26, 2017 (2 updates tracked since 2017).

About Wesley Pace NPPES

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

WESLEY PACE (NPI 1548795636) is an individual ophthalmology provider in Covington, Georgia, licensed in Georgia (89328) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Kentucky School Of Medicine (2017).

NPPES Registry Identity

NPI1548795636
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWESLEY PACE
Location Address4159 MILL ST NECovington, GA 30014-2546
Mailing Address4159 Mill St NeCovington, GA 30014-2546 · (770) 786-1234
Phone(770) 786-1234
Fax(770) 385-0813
Sole ProprietorNo
Medical School CMSKentucky School Of MedicineGraduated 2017
Enumeration DateApril 26, 2017
Last NPPES UpdateAugust 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1548795636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 89328
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4159 MILL ST NE, Covington, GA 30014
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1860 W Third Street JacksonJackson, GA 30233 · Phone (770) 786-1234
Location 21747 Virgil Langford Drive, Bldg 400 Suite 101Watkinsville, GA 30677 · Phone (770) 786-1234
Location 35165 Cook St NECovington, GA 30014-6207 · Phone (770) 786-1234

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

Wesley Pace 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 ID446652275
PECOS Enrollment IDI20210715001909
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 12

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 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.
364 services200 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.
185 services182 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.
143 services136 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
86 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 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.
76 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

76.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost21.11

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims12 services$64.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACK E. MANNS M.D.
Ophthalmology
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234
GEORGIA OPHTHALMOLOGISTS LLC
Clinic/Center (Ambulatory Surgical)
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234
DR. KELLY KING CLEARY OD
Optometrist
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234
JOSE LUIS BIGLES-GEIGEL M.D
Ophthalmology
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234
GEORGIA OPHTHALMOLOGISTS LLC
Durable Medical Equipment & Medical Supplies
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234
GEORGIA OPHTHALMOLOGISTS LLC
Ophthalmology
4159 MILL ST NE
COVINGTON, GA 30014
Newton County (770) 786-1234

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 Wesley Pace's NPI number?

The NPI number for Wesley Pace is 1548795636. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Wesley Pace located?

Wesley Pace practices at 4159 Mill St NE, Covington, GA 30014. The listed phone number is (770) 786-1234.

What is Wesley Pace's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Wesley Pace enrolled in Medicare?

Yes. Wesley Pace 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 Wesley Pace 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 Wesley Pace 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 Wesley Pace was last updated on August 8, 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.