JOHN R GWIN OD
NPI 1568542173
Optometrist in Columbus, OH

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
5180 E MAIN ST, SUITE F, COLUMBUS, OH 43213(614) 866-9002(614) 866-3581 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John R Gwin Od NPPES

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

JOHN R GWIN OD (NPI 1568542173) is an individual optometrist in Columbus, Ohio, licensed in Ohio (5311-T2220) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2002).

NPPES Registry Identity

NPI1568542173
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN R GWINCredential: OD
Location Address5180 E MAIN ST, SUITE FColumbus, OH 43213-2436
Mailing Address160 N Township RdPataskala, OH 43062-9192 · (740) 501-5577
Fax(614) 866-3581
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2002
Enumeration DateOctober 17, 2006
Last NPPES UpdateJanuary 30, 2014
NPI 1568542173 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 OH · 5311-T2220
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.
5180 E MAIN ST, Columbus, OH 43213

Other Identifiers 6

Medicare PIN4101725WV
Medicaid2373828OH
Medicare PIN4101723OH
Medicare PIN4101726OH
Medicare UPINU94172OH
Medicare PIN4101724OH

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

John R Gwin Od 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 ID1254229206
PECOS Enrollment IDI20040310000347, I20100326000450
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 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.
100 services99 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.
91 services91 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.
58 services58 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.
32 services24 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.
22 services18 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.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 14

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

Dentist (Endodontics)
5180 E MAIN ST, SUITE B
COLUMBUS, OH 43213
Dentist (General Practice)
5180 E MAIN ST
COLUMBUS, OH 43213
Dentist (Periodontics)
5180 E MAIN ST, SUITE A
COLUMBUS, OH 43213
Dentist (Periodontics)
5180 E MAIN ST, SUITE A
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST, SUITE F
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST, SUITE F
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST
COLUMBUS, OH 43213
Dentist (Pediatric Dentistry)
5180 E MAIN ST
COLUMBUS, OH 43213

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 Gwin's NPI number?

The NPI number for John Gwin is 1568542173. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Gwin located?

John Gwin practices at 5180 E Main St Suite F, Columbus, OH 43213. The listed phone number is (614) 866-9002.

What is John Gwin's specialty?

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

Is John Gwin enrolled in Medicare?

Yes. John Gwin 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 Gwin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list John Gwin 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 Gwin was last updated on January 30, 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.