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JAMES R DUGUE O.D.
NPI 1659306330
Optometrist in Mission Viejo, CA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
25982 PALA, SUITE 270, MISSION VIEJO, CA 92691(949) 951-1424(949) 770-5471 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James R Dugue O.d. NPPES

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

JAMES R DUGUE O.D. (NPI 1659306330) is an individual optometrist in Mission Viejo, California, licensed in California (OPT 7447 TPL) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1659306330
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES R DUGUECredential: O.D.
Location Address25982 PALA, SUITE 270Mission Viejo, CA 92691-6719
Mailing Address25982 Pala, Suite 270Mission Viejo, CA 92691-6719 · (949) 951-1424 · Fax (949) 770-5471
Phone(949) 951-1424
Fax(949) 770-5471
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659306330 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 CA · OPT 7447 TPL
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.
25982 PALA, Mission Viejo, CA 92691
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Other Identifiers 3

Medicare UPINT70198CA
Medicare ID-Type UnspecifiedOP7447CA
OtherSD0074470CA · Medical Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

James R Dugue O.d. 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 ID4688561129
PECOS Enrollment IDI20040301000651
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 7

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
83 services50 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.
38 services37 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.
32 services31 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.
25 services22 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).
18 services18 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

PETRA S PLACE PT
Physical Therapist
25982 PALA, SUITE 230
MISSION VIEJO, CA 92691
Orange County (949) 600-8812
DR. ROBERT CHARLES TARR O.D.
Optometrist
25982 PALA, STE 270
MISSION VIEJO, CA 92691
Orange County (949) 770-5514
SUELLEN M. SCARFF M.S., R.D.
Dietitian, Registered
25982 PALA, SUITE 140
MISSION VIEJO, CA 92691
Orange County (949) 770-0730
MISSION HILLS SURGICENTER, LLC
Clinic/Center (Ambulatory Surgical)
25982 PALA, SUITE#280
MISSION VIEJO, CA 92691
Orange County (949) 297-3838
MISSION HILLS MEDICAL GROUP, INC.
Internal Medicine
25982 PALA, SUITE 250
MISSION VIEJO, CA 92691
Orange County (949) 588-0051
CRUZ-HOPPE DENTAL CORPORATION
Dentist (General Practice)
25982 PALA, SUITE 210
MISSION VIEJO, CA 92691
Orange County (949) 458-2088
DR. MON-TA TSAI M.D.
Internal Medicine
25982 PALA, SUITE 250
MISSION VIEJO, CA 92691
Orange County (949) 588-0051
DR. TODD R. PLOCHER DDS
Dentist (General Practice)
25982 PALA, SUITE 200
MISSION VIEJO, CA 92691
Orange County (949) 472-5499

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 James Dugue's NPI number?

The NPI number for James Dugue is 1659306330. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is James Dugue located?

James Dugue practices at 25982 Pala Suite 270, Mission Viejo, CA 92691. The listed phone number is (949) 951-1424.

What is James Dugue's specialty?

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

Is James Dugue enrolled in Medicare?

Yes. James Dugue 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 James Dugue accept?

Health plans from Blue Cross Blue Shield of Wyoming, 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 2 other insurers list James Dugue 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 James Dugue was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.