DR. JOHN R VANDERBUSH O.D.
NPI 1659687242
Optometrist in Fayetteville, AR

Active since August 20, 2010PECOS EnrolledAccepts Medicare Assignment
1915 N GREEN ACRES RD, FAYETTEVILLE, AR 72703(479) 442-8961 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. John R Vanderbush O.d. NPPES

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

DR. JOHN R VANDERBUSH O.D. (NPI 1659687242) is an individual optometrist in Fayetteville, Arkansas, licensed in Arkansas (2658) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2010).

NPPES Registry Identity

NPI1659687242
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN R VANDERBUSHCredential: O.D.
Location Address1915 N GREEN ACRES RDFayetteville, AR 72703-2617
Mailing Address11225 Huron Ln Ste 200aLittle Rock, AR 72211-1861 · (501) 225-9944
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2010
Enumeration DateAugust 20, 2010
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1659687242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · 2658
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2658 (AR)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2658 (AR)
1915 N GREEN ACRES RD, Fayetteville, AR 72703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John R Vanderbush 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 ID4587857016
PECOS Enrollment IDI20101018000081
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Vanderbush reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1915 N GREEN ACRES RD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
Optometrist
3029 E VAN BUREN
Eureka Springs, AR 72632
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
82 services82 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.
79 services58 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.
51 services35 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).
38 services37 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
34 services33 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.
34 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 2

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

Speech-Language Pathologist
1915 N GREEN ACRES RD
FAYETTEVILLE, AR 72703
Optometrist
1915 N GREEN ACRES RD
FAYETTEVILLE, AR 72703

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 Vanderbush's NPI number?

The NPI number for John Vanderbush is 1659687242. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is John Vanderbush located?

John Vanderbush practices at 1915 N Green Acres Rd, Fayetteville, AR 72703. The listed phone number is (479) 442-8961.

What is John Vanderbush's specialty?

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

Is John Vanderbush enrolled in Medicare?

Yes. John Vanderbush 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.

Which organizations bill Medicare for John Vanderbush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Vanderbush reassigns Medicare benefits to 2 organizations: Fayetteville Eyecare Clinic (Fayetteville, AR) and Eureka Springs Eyecare Clinic (Eureka Springs, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Vanderbush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Vanderbush accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list John Vanderbush 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 Vanderbush was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.