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JOSHUA S CONNER O.D.
NPI 1952415689
Optometrist in Mishawaka, IN

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
88.17/100
CMS Quality Rating
230 E DAY RD STE 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua S Conner O.d. NPPES

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

JOSHUA S CONNER O.D. (NPI 1952415689) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003496A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2006).

NPPES Registry Identity

NPI1952415689
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSHUA S CONNERCredential: O.D.
Location Address230 E DAY RD STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Phone(574) 271-3939
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2006
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 21, 2013
✔ NPI 1952415689 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 IN · 18003496A✔ Licensed in VA · 0618001633✔ Licensed in KY · 1679DT
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.
230 E DAY RD STE 100, Mishawaka, IN 46545
Open in Google Maps ↗

Other Identifiers 8

Medicare NSC4823160004IN
Other18003496AIN · License
Medicare PIN204460HIN
OtherP00653119IN · Rr Medicare
Medicaid200888800IN
Medicare NSC4823160002IN
Medicare NSC4823160001IN
Medicare NSC4823160003IN

Accepted Insurance

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

Joshua S Conner O.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 ID9638254667
PECOS Enrollment IDI20161107002553
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 8

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.
238 services238 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.
216 services162 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.
173 services144 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).
154 services133 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.
88 services81 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.
44 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

88.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.34
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

SHANNAN ELIZABETH BROWN OD
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
HASAN A SALAM OD
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
DR. TIMOTHY H. BLANKENBEKER O.D.
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
LAURA ANNE CAVADINI D.O.
Ophthalmology
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
KARLY ROSE GRUETT OD
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
MR. FRANK C WANG JR. OD
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939
DR. DAVID PHILLIP SONNENBURG O.D.
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3939

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 Joshua Conner's NPI number?

The NPI number for Joshua Conner is 1952415689. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Joshua Conner located?

Joshua Conner practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Joshua Conner's specialty?

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

Is Joshua Conner enrolled in Medicare?

Yes. Joshua Conner 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.

What insurance does Joshua Conner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Montana and 6 other insurers list Joshua Conner 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 Joshua Conner was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.