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DR. ROBERT SCOTT MCPHERON O.D.
NPI 1972589505
Optometrist in New London, IA

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
103 W MAIN ST, NEW LONDON, IA 52645(319) 367-5313(319) 367-5313 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert Scott Mcpheron O.d. NPPES

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

DR. ROBERT SCOTT MCPHERON O.D. (NPI 1972589505) is an individual optometrist in New London, Iowa, licensed in Iowa (IA1880) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1988).

NPPES Registry Identity

NPI1972589505
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT SCOTT MCPHERONCredential: O.D.
Location Address103 W MAIN STNew London, IA 52645-1335
Mailing Address103 W Main StNew London, IA 52645-1335 · (319) 367-5313 · Fax (319) 367-5313
Phone(319) 367-5313
Fax(319) 367-5313
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1988
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 27, 2007
✔ NPI 1972589505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · IA1880
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.

103 W MAIN ST, New London, IA 52645
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Other Identifiers 4

Medicare ID-Type Unspecified16404IA
Medicare NSC0868630001IA
Medicare UPINT82775IA
Medicaid1280313IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Robert Scott Mcpheron 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 ID4981669041
PECOS Enrollment IDI20041130000973
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 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.
564 services534 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.
132 services105 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.
110 services110 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.
42 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services17 patients
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.
32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52645 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims14 services$37.88 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims28 services$42.22 avg. paid by Medicare
Tint, photochromatic, per lens V2744
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims21 services$13.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAYDIN WAHLS
Chiropractor
103 W MAIN ST
NEW LONDON, IA 52645
Henry County (563) 880-3064
WAHLS CHIROPRACTIC LLC
Chiropractor
103 W MAIN ST
NEW LONDON, IA 52645
Henry County (563) 880-3064

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 Robert Mcpheron's NPI number?

The NPI number for Robert Mcpheron is 1972589505. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Robert Mcpheron located?

Robert Mcpheron practices at 103 W Main St, New London, IA 52645. The listed phone number is (319) 367-5313.

What is Robert Mcpheron's specialty?

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

Is Robert Mcpheron enrolled in Medicare?

Yes. Robert Mcpheron 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 Robert Mcpheron accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Robert Mcpheron 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 Robert Mcpheron was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.