DR. JEFFREY DAVID WINE OD
NPI 1609962323
Optometrist in Mesa, AZ

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2826 E BASELINE RD STE 101, MESA, AZ 85204(480) 626-8925(480) 704-4036 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey David Wine Od NPPES

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

DR. JEFFREY DAVID WINE OD (NPI 1609962323) is an individual optometrist in Mesa, Arizona, licensed in Arizona (1544) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2006).

NPPES Registry Identity

NPI1609962323
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY DAVID WINECredential: OD
Location Address2826 E BASELINE RD STE 101Mesa, AZ 85204-7282
Mailing Address2826 E Baseline Rd Ste 101Mesa, AZ 85204-7282 · (480) 626-8925 · Fax (480) 704-4036
Fax(480) 704-4036
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2006
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1609962323 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 AZ · 1544
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.
2826 E BASELINE RD STE 101, Mesa, AZ 85204

Other Identifiers 1

Medicaid145725AZ

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. Jeffrey David Wine 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 ID749289619
PECOS Enrollment IDI20061204000605
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.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
6,472 services1,665 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.
2,801 services2,072 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.
2,445 services2,212 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.
986 services986 patients
Removal of foreign body from external eye (conjunctiva) 65205
This procedure involves the careful extraction of a foreign object from the surface of your eye, specifically the conjunctiva. This could be dust, metal, or any small particle. A healthcare professional uses specialized tools to gently remove the object, thus alleviating discomfort and preventing potential damage to your eye.
582 services480 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
369 services359 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

Optometrist
2826 E BASELINE RD STE 101
MESA, AZ 85204
Optometrist
2826 E BASELINE RD STE 101
MESA, AZ 85204

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 Jeffrey Wine's NPI number?

The NPI number for Jeffrey Wine is 1609962323. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jeffrey Wine located?

Jeffrey Wine practices at 2826 E Baseline Rd Ste 101, Mesa, AZ 85204. The listed phone number is (480) 626-8925.

What is Jeffrey Wine's specialty?

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

Is Jeffrey Wine enrolled in Medicare?

Yes. Jeffrey Wine 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 Jeffrey Wine accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Providence Health Plan and UnitedHealthcare list Jeffrey Wine 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 Jeffrey Wine was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.