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JAMES HOWARD POOLE O.D.
NPI 1811979982
Optometrist in Alexander City, AL

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
1120 AIRPORT DR, SUITE104, ALEXANDER CITY, AL 35010(256) 329-8400(256) 329-8200 Get Directions Write a Review

NPPES record last updated: February 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Howard Poole O.d. NPPES

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

JAMES HOWARD POOLE O.D. (NPI 1811979982) is an individual optometrist in Alexander City, Alabama, licensed in Alabama (S641-TA-157) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1987).

NPPES Registry Identity

NPI1811979982
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES HOWARD POOLECredential: O.D.
Location Address1120 AIRPORT DR, SUITE104Alexander City, AL 35010-3436
Mailing Address1120 Airport Dr, Suite104Alexander City, AL 35010-3436 · (256) 329-8400 · Fax (256) 329-8200
Phone(256) 329-8400
Fax(256) 329-8200
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1987
Enumeration DateNovember 15, 2005
Last NPPES UpdateFebruary 18, 2008
✔ NPI 1811979982 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 AL · S641-TA-157
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.

1120 AIRPORT DR, Alexander City, AL 35010
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Other Identifiers 4

Other51095087AL · Blue Cross Blue Shield
Other51095094AL · Blue Cross Blue Shield
Medicare NSC0348120001AL
Medicare UPINT69032AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Providence Health Plan.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

James Howard Poole 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 ID9234227984
PECOS Enrollment IDI20111229000260
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 9

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, 20-29 minutes 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.
229 services110 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.
217 services206 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.
200 services200 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
54 services43 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.
41 services32 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.
40 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35010 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%181 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
17%90 patients1/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
93%98 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
28%1,778 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%349 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 90% · 267 patients
Patients tobacco: 84% · 266 patients
39%23 patients2/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%64 patients5/55-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 5

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

MR. MARK FRANKLIN STAPLES PT
Physical Therapist
1120 AIRPORT DR, STE 103
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-8180
DR. ERNEST JONATHAN CHAMPION OD
Optometrist
1120 AIRPORT DR, STE 104
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-8400
DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
1120 AIRPORT DR, SUITE 103
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-8180
AMANDA HARDY CRNP
Nurse Practitioner (Family)
1120 AIRPORT DR
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 212-9300
JAMES H. POOLE & ASSOCIATES, O.D., P.C.
Optometrist
1120 AIRPORT DR, SUITE 104
ALEXANDER CITY, AL 35010
Tallapoosa County (256) 329-8400

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 Poole's NPI number?

The NPI number for James Poole is 1811979982. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is James Poole located?

James Poole practices at 1120 Airport Dr Suite104, Alexander City, AL 35010. The listed phone number is (256) 329-8400.

What is James Poole's specialty?

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

Is James Poole enrolled in Medicare?

Yes. James Poole 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 Poole accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list James Poole 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 Poole was last updated on February 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.