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

Q: 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.

Q: What is John Cummings's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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 Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, 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 (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.

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.

What insurance does John Cummings accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers 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.