JAMES PHELAN (OD) – Optometrist, NPI 1124653464

JAMES PHELAN (OD) is a healthcare provider. based in Deer park, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 61023496 (WA). The NPI Number for JAMES PHELAN (OD) is 1124653464

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JAMES PHELAN (OD)
NPI
1124653464
Phone
(509) 276-0026
Address
PO BOX 1329
Enumeration Date
6 March 2020
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5094472945
Graduation Year
1995 (31 years ago)
PAC ID
0446669592
Group Practice PAC ID
3870925092
Professional Enrollment ID
I20210503001162
Address ID
WA991569670NE205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for JAMES PHELAN (OD)

  • PO BOX 1329

    DEER PARK, WA 990061329

    Phone: (509) 276-0026

    Type: Mailing

  • 14 N. VERNON AVE.

    DEER PARK, WA 99006

    Phone: (509) 276-0026

    Type: Location

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: 2021-05-03

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
I20210503001162IOptometryWATBD

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 system9191$0
99213Established patient office or other outpatient visit, 20-29 minutes5640$0
66984Removal of cataract with insertion of prosthetic lens5634$0
92004New patient complete exam of visual system4747$0
92083Exam of visual field with extended testing3225$0
View full utilization report →

Insurance plans in this area (ZIP 99006)

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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: 3870925092View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P T O M E T R YOR

Reviews

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Frequently asked questions

What unique ID ties claims to JAMES PHELAN (OD)?
NPI 1124653464 is assigned to JAMES PHELAN (OD) under the national enumeration system.
Is JAMES PHELAN (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JAMES PHELAN (OD) work in?
You can think of JAMES PHELAN (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does JAMES PHELAN (OD) practice in Washington?
You will see Deer Park, Washington on file for JAMES PHELAN (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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