DR. JOHN STEPHEN MCPHAIL II OD
NPI 1568566719
Optometrist in Florence, SC

Active since September 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.79/100
CMS Quality Rating
400 N CASHUA DR, FLORENCE, SC 29501(864) 654-6706 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Jan 28, 2026, Jul 9, 2019 and 1 more (4 updates tracked since 2016).

About Dr. John Stephen Mcphail Ii Od NPPES

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

DR. JOHN STEPHEN MCPHAIL II OD (NPI 1568566719) is an individual optometrist in Florence, South Carolina, licensed in South Carolina (1083) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1568566719
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN STEPHEN MCPHAIL IICredential: OD
Location Address400 N CASHUA DRFlorence, SC 29501-2098
Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateSeptember 9, 2006
Last NPPES UpdateApril 14, 20264 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1568566719 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 SC · 1083
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.
400 N CASHUA DR, Florence, SC 29501

Secondary Practice Locations 7

Location 1273 Harrison Bridge RdSimpsonville, SC 29680-7132 · Phone (864) 657-6706
Location 21 Halton Green WayGreenville, SC 29607-6606 · Phone (864) 657-6706
Location 322995 US Highway 76Clinton, SC 29325-7529 · Phone (864) 654-6706
Location 4504 S 4th StHartsville, SC 29550-5720 · Phone (864) 654-6706
Location 5300 E Monroe StDillon, SC 29536-2560 · Phone (864) 654-6706
Location 6602 E Main StBennettsville, SC 29512-3218 · Phone (864) 654-6706
Location 7360 Pelham RdGreenville, SC 29615-3111 · Phone (864) 657-6706

Other Identifiers 1

MedicaidD10833SC

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

Dr. John Stephen Mcphail Ii 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 ID2264605823
PECOS Enrollment IDI20111027000562
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 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.
861 services782 patients
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.
607 services598 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.
262 services253 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.
235 services190 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
220 services213 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.
131 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

97.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.65

Other Providers at the Same Location NPPES 11

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

Ophthalmology
400 N CASHUA DR
FLORENCE, SC 29501
Specialist
400 N CASHUA DR
FLORENCE, SC 29501
Optometrist
400 N CASHUA DR
FLORENCE, SC 29501
Clinic/Center (Ambulatory Surgical)
400 N CASHUA DR
FLORENCE, SC 29501
Ophthalmology
400 N CASHUA DR
FLORENCE, SC 29501
Ophthalmology
400 N CASHUA DR
FLORENCE, SC 29501
Optometrist
400 N CASHUA DR
FLORENCE, SC 29501
Ophthalmology
400 N CASHUA DR
FLORENCE, SC 29501

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 Mcphail's NPI number?

The NPI number for John Mcphail is 1568566719. It was assigned to this individual provider in the NPPES registry on September 9, 2006.

Where is John Mcphail located?

John Mcphail practices at 400 N Cashua Dr, Florence, SC 29501. The listed phone number is (864) 654-6706.

What is John Mcphail's specialty?

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

Is John Mcphail enrolled in Medicare?

Yes. John Mcphail 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 Mcphail accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list John Mcphail 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 Mcphail was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.