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DR. JAMES THOMAS LISLE OD
NPI 1790778306
Optometrist in North Vernon, IN

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
57.5/100
CMS Quality Rating
747 N STATE ST, NORTH VERNON, IN 47265(812) 346-8500(812) 352-8308 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Thomas Lisle Od NPPES

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

DR. JAMES THOMAS LISLE OD (NPI 1790778306) is an individual optometrist in North Vernon, Indiana, licensed in Indiana (18002981A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1998).

NPPES Registry Identity

NPI1790778306
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES THOMAS LISLECredential: OD
Location Address747 N STATE STNorth Vernon, IN 47265-1044
Mailing Address747 N State StNorth Vernon, IN 47265-1044 · (812) 352-6600 · Fax (812) 352-6600
Phone(812) 346-8500
Fax(812) 352-8308
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1998
Enumeration DateAugust 30, 2005
Last NPPES UpdateDecember 6, 2016
✔ NPI 1790778306 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 IN · 18002981A✔ Licensed in KY · 1415DT
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.
747 N STATE ST, North Vernon, IN 47265
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Other Identifiers 8

Medicare ID-Type Unspecified182120AIN
Medicare UPINU85566IN
Medicare NSC4331560001IN
Other7700115400KY · Kyhealth Choices
Medicaid200335310AIN
Medicaid200347550IN
Other924288KY · Block Vision
Medicare ID-Type Unspecified182120IN · Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 Thomas Lisle Od 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 ID2860479243
PECOS Enrollment IDI20110901000373
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 13

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.
323 services319 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.
263 services143 patients
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.
259 services223 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.
124 services115 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.
87 services77 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
74 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47265 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

57.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers26 claims26 services$55.61 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims35 services$39.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LISLE FAMILY EYE CARE INC
Optometrist
747 N STATE ST
NORTH VERNON, IN 47265
Jennings County (812) 346-8500
DR. MARGARET ANN LISLE OD
Optometrist
747 N STATE ST
NORTH VERNON, IN 47265
Jennings County (812) 346-8500

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 Lisle's NPI number?

The NPI number for James Lisle is 1790778306. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is James Lisle located?

James Lisle practices at 747 N State St, North Vernon, IN 47265. The listed phone number is (812) 346-8500.

What is James Lisle's specialty?

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

Is James Lisle enrolled in Medicare?

Yes. James Lisle 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 Lisle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list James Lisle 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 Lisle was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.