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JAMES PHILIP DUNN M.D.
NPI 1932140209
Ophthalmology in Plymouth Meeting, PA

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462(800) 331-6634(267) 420-1360 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2019, Sep 21, 2017, Sep 22, 2016 (3 updates tracked since 2016).

About James Philip Dunn M.d. NPPES

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

JAMES PHILIP DUNN M.D. (NPI 1932140209) is an individual ophthalmology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD450503) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1932140209
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAMES PHILIP DUNNCredential: M.D.
Location Address4060 BUTLER PIKE, SUITE 200Plymouth Meeting, PA 19462-1560
Mailing Address4060 Butler Pike, Suite 200Plymouth Meeting, PA 19462-1560 · (800) 331-6634 · Fax (267) 420-1360
Phone(800) 331-6634
Fax(267) 420-1360
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1984
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 6, 20193 updates tracked since enumeration
✔ NPI 1932140209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD450503
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD450503 (PA)
4060 BUTLER PIKE, Plymouth Meeting, PA 19462
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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

James Philip Dunn M.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 ID3678644804
PECOS Enrollment IDI20140310000316
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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
465 services252 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.
232 services139 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.
214 services188 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.
69 services62 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.
53 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.94
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MITCHELL S. FINEMAN MD
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
RICHARD S KAISER MD
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
DR. LOV K SARIN M.D.
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
PHILIP A KOSVITCH O.D.
Optometrist
4060 BUTLER PIKE, SUITE 100
PLYMOUTH MEETING, PA 19462
Montgomery County (215) 836-1290
DR. ALLEN CHIANG M.D.
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
OMESH PARKASH GUPTA MD
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
MICHAEL ADRIAN KLUFAS M.D.
Ophthalmology
4060 BUTLER PIKE, STE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634
GARY C. BROWN MD
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Montgomery County (800) 331-6634

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 Dunn's NPI number?

The NPI number for James Dunn is 1932140209. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Dunn located?

James Dunn practices at 4060 Butler Pike Suite 200, Plymouth Meeting, PA 19462. The listed phone number is (800) 331-6634.

What is James Dunn's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Dunn enrolled in Medicare?

Yes. James Dunn 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.

Is James Dunn affiliated with any hospitals?

According to CMS data, James Dunn is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for James Dunn was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.