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JAMES CHESTER SULLIVAN O.D.
NPI 1992802656
Optometrist in Pasco, WA

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.37/100
CMS Quality Rating
2715 W COURT ST, PASCO, WA 99301(509) 547-8409(509) 544-7875 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Chester Sullivan O.d. NPPES

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

JAMES CHESTER SULLIVAN O.D. (NPI 1992802656) is an individual optometrist in Pasco, Washington, licensed in Washington (OD00004061) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2006).

NPPES Registry Identity

NPI1992802656
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES CHESTER SULLIVANCredential: O.D.
Location Address2715 W COURT STPasco, WA 99301-3911
Mailing Address2715 W Court StPasco, WA 99301-3911 · (509) 547-8409
Phone(509) 547-8409
Fax(509) 544-7875
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2006
Enumeration DateSeptember 17, 2006
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1992802656 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 WA · OD00004061
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.
2715 W COURT ST, Pasco, WA 99301
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Other Names 1

Other Name (5)Dr. J.c. Sullivan O.d.

Other Identifiers 3

Other0222797WA · Dept Of Labor & Industry
Medicaid2033561WA
OtherP00425941WA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

James Chester Sullivan 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 ID6002907243
PECOS Enrollment IDI20070802000334
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 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.
188 services140 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.
149 services137 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.
75 services67 patients
Other service or procedure on eye 92499
This procedure or service on your eye can involve various treatments like corrective surgeries, diagnostic tests, or therapeutic procedures. It aims to improve your eye health, enhance vision, or treat specific eye conditions. Rest assured, these procedures are performed by trained professionals.
38 services33 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).
37 services32 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99301 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

90.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.32
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
58%141 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
100%207 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
56%45 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
89%1,700 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
96%52 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%352 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 2

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

PASCO VISION CLINIC P S
Optometrist
2715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-8409
DR. WILLIAM EUGENE SULLIVAN O.D.
Optometrist
2715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-8409

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 Sullivan's NPI number?

The NPI number for James Sullivan is 1992802656. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Dr. J.C. Sullivan O.D..

Where is James Sullivan located?

James Sullivan practices at 2715 W Court St, Pasco, WA 99301. The listed phone number is (509) 547-8409.

What is James Sullivan's specialty?

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

Is James Sullivan enrolled in Medicare?

Yes. James Sullivan 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 James Sullivan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list James Sullivan 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 James Sullivan was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.