JAMES R PACE (O.D.) – Optometrist, NPI 1225022635

JAMES R PACE (O.D.) is a healthcare provider. based in Wichita, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 972-3 (KS). The NPI Number for JAMES R PACE (O.D.) is 1225022635

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R PACE (O.D.)
NPI
1225022635
Phone
(316) 262-8476
Address
1039 N BROADWAY ST
Enumeration Date
31 August 2005
Last Update Date
14 June 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3162606280
Graduation Year
1966 (60 years ago)
PAC ID
0244349728
Group Practice PAC ID
3678860236
Professional Enrollment ID
I20110801000300
Address ID
KS672172862WI2757XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

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Provider Addresses for JAMES R PACE (O.D.)

  • 1039, North Broadway Street, Wichita, Sedgwick County, Kansas, 67214, United States

    WICHITA, KS 672142906

    Phone: (316) 262-8476

    Fax: (316) 262-8477

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110801000300IOptometryKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system8274$0
92250Photography of the retina3431$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678860236View full group profile
NameSpecialtyState
O P T O M E T R YKS

Reviews

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Frequently asked questions

Does JAMES R PACE (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMES R PACE (O.D.) uses 1225022635.
Is JAMES R PACE (O.D.) listed as active for patients and plans?
The listing shows JAMES R PACE (O.D.) as active in the NPI system.
What taxonomy line describes JAMES R PACE (O.D.)?
For research purposes, treat JAMES R PACE (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JAMES R PACE (O.D.)?
JAMES R PACE (O.D.)'s geographic hint is Wichita, Kansas in our summary view.
Is the information about JAMES R PACE (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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