JOHN JAMES IV BUSHAW (OD) – Optometrist, NPI 1871084723

JOHN JAMES IV BUSHAW (OD) is a healthcare provider. based in Birmingham, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005131 (MI). The NPI Number for JOHN JAMES IV BUSHAW (OD) is 1871084723

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JAMES IV BUSHAW (OD)
NPI
1871084723
Phone
(248) 644-8060
Address
800 S ADAMS RD STE 201
Enumeration Date
27 May 2018
Last Update Date
20 September 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2486448060
Graduation Year
2014 (12 years ago)
PAC ID
5092047282
Group Practice PAC ID
6103829940
Professional Enrollment ID
I20191021002561
Address ID
MI480097008BI800XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for JOHN JAMES IV BUSHAW (OD)

  • 201, South Adams Road, Birmingham, Oakland County, Michigan, 48009, United States

    BIRMINGHAM, MI 480097008

    Phone: (248) 644-8060

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $711.

Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($457).

Total Amount

$711

General + Research + Ownership

Payments

11

Total payment records

General Amount

$711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-21

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
I20191021002561IOptometryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes256205$0
83861Microfluid analysis of tears17774$0
99212Established patient office or other outpatient visit, 10-19 minutes9986$0
83516Analysis of substance using immunoassay technique, multiple step method8138$0
92014Established patient complete exam of visual system7777$0
View full utilization report →

Insurance plans in this area (ZIP 48009)

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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: 6103829940View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

How is JOHN JAMES IV BUSHAW (OD) identified in CMS data?
CMS-hosted NPPES data lists JOHN JAMES IV BUSHAW (OD) with NPI 1871084723.
Is JOHN JAMES IV BUSHAW (OD) still practicing?
JOHN JAMES IV BUSHAW (OD) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN JAMES IV BUSHAW (OD)?
For research purposes, treat JOHN JAMES IV BUSHAW (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOHN JAMES IV BUSHAW (OD) based?
JOHN JAMES IV BUSHAW (OD) is tied to Birmingham, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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