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DR. JAMES MICHAEL BUDD OD
NPI 1902880446
Optometrist in Monroeville, PA

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
4156 WILLIAM PENN HWY., THE EYEGLASS STORE, MONROEVILLE, PA 15146(412) 372-8188(412) 372-8191 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Michael Budd Od NPPES

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

DR. JAMES MICHAEL BUDD OD (NPI 1902880446) is an individual optometrist in Monroeville, Pennsylvania, licensed in Pennsylvania (OEG001177) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1984).

NPPES Registry Identity

NPI1902880446
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES MICHAEL BUDDCredential: OD
Location Address4156 WILLIAM PENN HWY., THE EYEGLASS STOREMonroeville, PA 15146
Mailing Address4156 William Penn Hwy., The Eyeglass StoreMonroeville, PA 15146 · (412) 372-8188 · Fax (412) 372-8191
Phone(412) 372-8188
Fax(412) 372-8191
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1984
Enumeration DateNovember 29, 2005
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1902880446 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 · OEG001177
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.
4156 WILLIAM PENN HWY., Monroeville, PA 15146
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Other Identifiers 2

Medicare PIN666231PA
Medicare UPINU11636PA

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 Michael Budd 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 ID446333736
PECOS Enrollment IDI20080211000013
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 Budd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aeg Pennsylvania Professional Inc
6.8 mi
Optometrist
1201 S BRADDOCK AVE
Pittsburgh, PA 15218
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 165 clinicians in this Medicare group
NPI 1851958854 (412) 731-2020

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 3

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.
58 services56 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.
32 services31 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).
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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.

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 Budd's NPI number?

The NPI number for James Budd is 1902880446. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is James Budd located?

James Budd practices at 4156 William Penn Hwy. The Eyeglass Store, Monroeville, PA 15146. The listed phone number is (412) 372-8188.

What is James Budd's specialty?

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

Is James Budd enrolled in Medicare?

Yes. James Budd 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 Budd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Budd reassigns Medicare benefits to Aeg Pennsylvania Professional Inc (Pittsburgh, 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 Budd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Budd 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 14 other insurers list James Budd 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 Budd was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.