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DR. JAMES M TICKNER O.D., M.A.
NPI 1902864085
Optometrist in Lake Ariel, PA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
1315A LAKE ARIEL HWY, LAKE ARIEL, PA 18436(570) 698-4140(570) 698-4165 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James M Tickner O.d., M.a. NPPES

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

DR. JAMES M TICKNER O.D., M.A. (NPI 1902864085) is an individual optometrist in Lake Ariel, Pennsylvania, licensed in Pennsylvania (OEG001159) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2003).

NPPES Registry Identity

NPI1902864085
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES M TICKNERCredential: O.D., M.A.
Location Address1315A LAKE ARIEL HWYLake Ariel, PA 18436-9438
Mailing Address3319 Lake Ariel HwyHonesdale, PA 18431-1174 · (570) 253-6551 · Fax (570) 253-6553
Phone(570) 698-4140
Fax(570) 698-4165
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2003
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1902864085 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 PA · OEG001159
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.
1315A LAKE ARIEL HWY, Lake Ariel, PA 18436
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11409 Route 739Dingmans Ferry, PA 18328-3478 · Phone (570) 257-9657
Location 230 N Church StCarbondale, PA 18407-1905 · Phone (570) 251-9657
Location 33319 Lake Ariel HwyHonesdale, PA 18431-1174 · Phone (570) 251-9657

Other Identifiers 3

Other82187PA · Geisinger Pin Number
Other1510066PA · Highmark Blueshield Pin
Other817310PA · First Priority Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. James M Tickner O.d., M.a. 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 ID4284629700
PECOS Enrollment IDI20040415000549
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 Tickner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Eye Care Of Nepa PC
9.5 mi
Optometrist
3319 LAKE ARIEL HWY
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1467546499 (570) 253-6551

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 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 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.
109 services76 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).
49 services43 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.
40 services25 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.
28 services27 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.
23 services22 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18436 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

FAMILY FIRST VISION CENTER, INC
Optometrist
1315A LAKE ARIEL HWY
LAKE ARIEL, PA 18436
Wayne County (570) 698-4140
DR. CHRISTINA MARIE GILLOW O.D.
Optometrist
1315A LAKE ARIEL HWY
LAKE ARIEL, PA 18436
Wayne County (570) 253-6551

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 Tickner's NPI number?

The NPI number for James Tickner is 1902864085. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is James Tickner located?

James Tickner practices at 1315A Lake Ariel Hwy, Lake Ariel, PA 18436. The listed phone number is (570) 698-4140.

What is James Tickner's specialty?

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

Is James Tickner enrolled in Medicare?

Yes. James Tickner 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 James Tickner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Tickner reassigns Medicare benefits to Family Eye Care Of Nepa PC (Honesdale, PA). 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 Tickner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Tickner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list James Tickner 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 Tickner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.