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JOHN M PRICE O.D.
NPI 1841393709
Optometrist in Wapakoneta, OH

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.96/100
CMS Quality Rating
1201 DEFIANCE ST, SUITE A, WAPAKONETA, OH 45895(419) 738-2715(419) 738-2815 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Price O.d. NPPES

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

JOHN M PRICE O.D. (NPI 1841393709) is an individual optometrist in Wapakoneta, Ohio, licensed in Ohio (5062 T1939) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1841393709
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN M PRICECredential: O.D.
Location Address1201 DEFIANCE ST, SUITE AWapakoneta, OH 45895-1059
Mailing Address140 W Spring StSaint Marys, OH 45885-2312 · (419) 394-2397 · Fax (419) 932-9788
Phone(419) 738-2715
Fax(419) 738-2815
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJanuary 29, 2018
✔ NPI 1841393709 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 OH · 5062 T1939
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.
1201 DEFIANCE ST, Wapakoneta, OH 45895
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Other Identifiers 1

Medicaid2128978OH

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

John M Price 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 ID4183697923
PECOS Enrollment IDI20040914000150
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.

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.
2,040 services24 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.
193 services188 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.
148 services126 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
55 services44 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.
54 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45895 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.92
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
65%43 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
99%293 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
50%44 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
42%2,854 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
78%83 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%548 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.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers11 claims11 services$55.69 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 3

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

JOHN T ARCHER & ASSOC INC
Optometrist
1201 DEFIANCE ST, SUITE A
WAPAKONETA, OH 45895
Auglaize County (419) 738-2715
DR. KELLI PRICE O.D.
Optometrist
1201 DEFIANCE ST, SUITE A
WAPAKONETA, OH 45895
Auglaize County (419) 738-2715
AUGLAIZE FAMILY EYE CARE INC
Optometrist
1201 DEFIANCE ST, SUITE A
WAPAKONETA, OH 45895
Auglaize County (419) 738-2715

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 Price's NPI number?

The NPI number for John Price is 1841393709. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is John Price located?

John Price practices at 1201 Defiance St Suite A, Wapakoneta, OH 45895. The listed phone number is (419) 738-2715.

What is John Price's specialty?

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

Is John Price enrolled in Medicare?

Yes. John Price 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 John Price accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list John Price 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 Price was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.