DR. JOHN WESLEY PORTER OD
NPI 1972089514
Optometrist in Idaho Falls, ID
About Dr. John Wesley Porter Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WESLEY PORTER OD (NPI 1972089514) is an individual optometrist in Idaho Falls, Idaho, licensed in Idaho (ODP100482) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rexburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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 Wesley Porter Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fruitland, ID 83619
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: Iwasa Eye Center PA
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Porter's NPI number?
The NPI number for John Porter is 1972089514. It was assigned to this individual provider in the NPPES registry on July 17, 2018.
Where is John Porter located?
John Porter practices at 3363 Merlin Dr, Idaho Falls, ID 83404. The listed phone number is (208) 523-0330.
What is John Porter's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John Porter enrolled in Medicare?
Yes. John Porter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Porter reassigns Medicare benefits to Iwasa Eye Center P.A. (Fruitland, ID). 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 John Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Porter accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list John Porter 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 Porter was last updated on October 24, 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.
# Dr. John Wesley Porter, OD · NPI 1972089514
Optometrist provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1972089514 (Entity type: Individual)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** ODP100482 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 3363 MERLIN DR, Idaho Falls, ID 83404-7405
- **Phone:** (208) 523-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Iwasa Eye Center P.A. (NPI 1346383957, Fruitland, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972089514) · Data from the CMS NPPES public registry.