DR. JAMES B ELLEDGE OD, MBA, FAAO
NPI 1710993241
Optometrist in San Antonio, TX

Q: What is James Elledge's NPI number?

The NPI number for James Elledge is 1710993241. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is James Elledge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Elledge was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 01, 2006PECOS Enrolled

17134 BULVERDE RD STE 107, SAN ANTONIO, TX 78247(210) 267-2686(210) 267-2216 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2023, Nov 6, 2020, Mar 17, 2018 (3 updates tracked since 2018).

On this page

About Dr. James B Elledge Od, Mba, Faao NPPES

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

DR. JAMES B ELLEDGE OD, MBA, FAAO (NPI 1710993241) is an individual optometrist in San Antonio, Texas, licensed in Missouri (T03341) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1710993241

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JAMES B ELLEDGECredential: OD, MBA, FAAO

Location Address17134 BULVERDE RD STE 107San Antonio, TX 78247-2190

Mailing Address17134 Bulverde Rd Ste 107San Antonio, TX 78247-2190 · (210) 267-2686

Phone(210) 267-2686

Fax(210) 267-2216

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 18, 20233 updates tracked since enumeration

NPPES CertifiedMay 18, 2023

✔ NPI 1710993241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MO · T03341✔ Licensed in NY · 006941

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.

17134 BULVERDE RD STE 107, San Antonio, TX 78247

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James B Elledge Od, Mba, Faao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082098009

PECOS Enrollment IDI20231012003480

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 Reassignment

Medicare enrollment records show James Elledge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Well-Edge Vision

Same address

Optometrist

17134 BULVERDE RD STE 107
San Antonio, TX 78247

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1619616778 (210) 267-2686

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78247 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 3

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

DR. NANCY MARIE WELLS O.D.

Optometrist

17134 BULVERDE RD STE 107
SAN ANTONIO, TX 78247

Bexar County (210) 267-2686

WELL-EDGE VISION

Optometrist

17134 BULVERDE RD STE 107
SAN ANTONIO, TX 78247

Bexar County (210) 267-2686

DR. LORENA ISABEL GONZALEZ OD

Optometrist

17134 BULVERDE RD STE 107
SAN ANTONIO, TX 78247

Bexar County (210) 267-2686

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 Elledge's NPI number?

The NPI number for James Elledge is 1710993241. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is James Elledge located?

James Elledge practices at 17134 Bulverde Rd Ste 107, San Antonio, TX 78247. The listed phone number is (210) 267-2686.

What is James Elledge's specialty?

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

Is James Elledge enrolled in Medicare?

Yes. James Elledge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Elledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Elledge reassigns Medicare benefits to Well-Edge Vision (San Antonio, TX). The 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 James Elledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Elledge accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list James Elledge 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 Elledge was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.