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DR. JAMES A MUSE O.D.
NPI 1710964077
Optometrist in Clearwater, FL

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
97.07/100
CMS Quality Rating
2560 GULF TO BAY BLVD, CLEARWATER, FL 33765(727) 799-3772 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Mar 5, 2019, Feb 27, 2019 (3 updates tracked since 2019).

About Dr. James A Muse O.d. NPPES

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

DR. JAMES A MUSE O.D. (NPI 1710964077) is an individual optometrist in Clearwater, Florida, licensed in Florida (OPC2774) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1994).

NPPES Registry Identity

NPI1710964077
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES A MUSECredential: O.D.
Location Address2560 GULF TO BAY BLVDClearwater, FL 33765-4413
Mailing Address2560 Gulf To Bay BlvdClearwater, FL 33765-4413 · (727) 799-3772
Phone(727) 799-3772
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1994
Enumeration DateDecember 28, 2005
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1710964077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · OPC2774✔ Licensed in KY · 2053DT
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 2053DT (KY)
2560 GULF TO BAY BLVD, Clearwater, FL 33765
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Other Identifiers 5

Other1649450115FL · Ptan
Other610866345KY · Tax Identification Number
OtherK276010KY · Medicare
Other203177656FL · Tax Id
Other5686290001FL · Group Ptan

Accepted Insurance

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

Dr. James A Muse 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 ID6507885159
PECOS Enrollment IDI20051115000112
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 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.
133 services133 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.
98 services83 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.
61 services61 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.
37 services37 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
34 services31 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33765 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

97.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.25

Other Providers at the Same Location NPPES 4

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

MR. MARK A BEILER OD
Optometrist
2560 GULF TO BAY BLVD, SUITE 100
CLEARWATER, FL 33765
Pinellas County (727) 799-3772
MRS. MICHELLE M HERNANDEZ OD
Optometrist
2560 GULF TO BAY BLVD, SUITE 100
CLEARWATER, FL 33765
Pinellas County (727) 799-3772
MR. HERBERT P KNAUF III MD
Ophthalmology
2560 GULF TO BAY BLVD, SUITE 100
CLEARWATER, FL 33765
Pinellas County (727) 799-3772
EYE SITE OF TAMPA BAY PA
Ophthalmology
2560 GULF TO BAY BLVD, SUITE 100
CLEARWATER, FL 33765
Pinellas County (727) 799-3772

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 Muse's NPI number?

The NPI number for James Muse is 1710964077. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Muse located?

James Muse practices at 2560 Gulf To Bay Blvd, Clearwater, FL 33765. The listed phone number is (727) 799-3772.

What is James Muse's specialty?

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

Is James Muse enrolled in Medicare?

Yes. James Muse 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 Muse accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list James Muse 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 Muse was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.