JOHN S WHORFF O.D.
NPI 1730150327
Optometrist in Winnsboro, TX

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.19/100
CMS Quality Rating
408 S MAIN ST, WINNSBORO, TX 75494(903) 342-5799(903) 342-1409 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About John S Whorff O.d. NPPES

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

JOHN S WHORFF O.D. (NPI 1730150327) is an individual optometrist in Winnsboro, Texas, licensed in Texas (05199TG) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1995).

NPPES Registry Identity

NPI1730150327
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN S WHORFFCredential: O.D.
Location Address408 S MAIN STWinnsboro, TX 75494-3226
Mailing Address408 S Main StWinnsboro, TX 75494-3226 · (903) 342-5799 · Fax (903) 342-1409
Fax(903) 342-1409
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1995
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1730150327 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 TX · 05199TG
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.
408 S MAIN ST, Winnsboro, TX 75494

Other Identifiers 2

Medicare UPINH59076TX
Medicare ID-Type Unspecified85Z610TX

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

John S Whorff 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 ID4981748274
PECOS Enrollment IDI20100224000953
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 John Whorff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
2440 E 5TH ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 14 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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
714 services396 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.
612 services536 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.
608 services600 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).
204 services169 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.
169 services137 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.
129 services103 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75494 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.

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.

94.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.44
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
91%832 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%1,090 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 985 patients
Patients screened: 86% · 985 patients
92%83 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%247 patients
Provide Patients Electronic Access to Their Health Information
98%812 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
81%47 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
408 S MAIN ST
WINNSBORO, TX 75494
Optometrist
408 S MAIN ST
WINNSBORO, TX 75494
Technician/Technologist (Optician)
408 S MAIN ST
WINNSBORO, TX 75494

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 Whorff's NPI number?

The NPI number for John Whorff is 1730150327. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is John Whorff located?

John Whorff practices at 408 S Main St, Winnsboro, TX 75494. The listed phone number is (903) 342-5799.

What is John Whorff's specialty?

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

Is John Whorff enrolled in Medicare?

Yes. John Whorff 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 organization bills Medicare for John Whorff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Whorff reassigns Medicare benefits to East Texas Eye Care Associates PLLC (Tyler, 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 John Whorff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Whorff accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Health and 7 other insurers list John Whorff 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 Whorff was last updated on July 16, 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.