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DR. JOHN MICHAEL CUMMINGS O.D.
NPI 1922395441
Optometrist in Navarre, FL

Active since July 05, 2011PECOS Enrolled
8050 NAVARRE PKWY, NAVARRE, FL 32566(850) 939-3459(850) 497-6219 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2017, Feb 15, 2017, Sep 1, 2016 (3 updates tracked since 2016).

About Dr. John Michael Cummings O.d. NPPES

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

DR. JOHN MICHAEL CUMMINGS O.D. (NPI 1922395441) is an individual optometrist in Navarre, Florida, licensed in Florida (OPC4657) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922395441
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN MICHAEL CUMMINGSCredential: O.D.
Location Address8050 NAVARRE PKWYNavarre, FL 32566
Mailing Address15933 Clayton Rd, Suite 201Ballwin, MO 63011-2172 · (636) 200-4393 · Fax (636) 527-0838
Phone(850) 939-3459
Fax(850) 497-6219
Sole ProprietorNo
Enumeration DateJuly 5, 2011
Last NPPES UpdateAugust 3, 20173 updates tracked since enumeration
✔ NPI 1922395441 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 FL · OPC4657✔ Licensed in SC · 1646
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.
8050 NAVARRE PKWY, Navarre, FL 32566
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Other Identifiers 3

Other190FLFL · Florida Blue
Medicare PINGG279ZFL
Medicaid006234400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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 (PECOS)

Dr. John Michael Cummings O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show John Cummings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sight And Sun Eyeworks LLC
21 mi
Optometrist
5101 N DAVIS HWY, SUITE A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1932359106 (636) 200-4393
Sightrite Medical Fl PLLC
1,015 mi
Optometrist
232 BROADWAY
Brooklyn, NY 11211
  • Reassigned Medicare billing, Florida enrollment
  • 32 clinicians in this Medicare group
NPI 1568977494 (212) 764-0008

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 7

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 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.
50 services43 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.
29 services28 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
23 services23 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.
21 services21 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.
19 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32566 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

APRIL MICHELLE BRUN O.D.
Optometrist
8050 NAVARRE PKWY
NAVARRE, FL 32566
Santa Rosa County (850) 939-3459
MR. DUSTIN GRUBBS OD
Optometrist
8050 NAVARRE PKWY
NAVARRE, FL 32566
Santa Rosa County (850) 939-3459
NEIL A HOOK OD
Optometrist
8050 NAVARRE PKWY
NAVARRE, FL 32566
Santa Rosa County (850) 939-3459
SIGHT AND SUN EYEWORKS LLC
Optometrist
8050 NAVARRE PKWY
NAVARRE, FL 32566
Santa Rosa County (636) 200-4393

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 Cummings's NPI number?

The NPI number for John Cummings is 1922395441. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is John Cummings located?

John Cummings practices at 8050 Navarre Pkwy, Navarre, FL 32566. The listed phone number is (850) 939-3459.

What is John Cummings's specialty?

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

Is John Cummings enrolled in Medicare?

Yes. John Cummings is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Cummings reassigns Medicare benefits to 2 organizations: Sight And Sun Eyeworks LLC (Pensacola, FL) and Sightrite Medical Fl PLLC (Brooklyn, NY). Each 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 John Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Cummings accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list John Cummings 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 Cummings was last updated on August 3, 2017. 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.