Active NPI 1780611954 Individual Practitioner Male Practitioner

Dr. James A Cope , OD

Optometrist • Nephi, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Cope, OD is a certified Optometrist practicing in Nephi, UT. With approximately 27 years of clinical experience since graduating from Pacific University - College Of Optometry in 1999, Dr. Cope delivers high-quality medical care to the local community at 48 S MAIN ST.

Dr. Cope accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

48 S Main St

Nephi, UT 846481708

Telephone 4356232100

Fax 4356231671

Associated Practice Facility / Clinic

🏢 Nebo Vision Inc. Facility NPI 1285678565

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Nephi, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Nephi, UT (484 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cope (27 Years) 27 Yrs

Nephi Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	132	$165.00	$122.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$165.00	$159.30
92014 Established patient complete exam of visual system	35	34	$165.00	$118.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	110	110	$161.00	$119.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	85	$163.63	$121.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$164.74	$158.87
66984 Removal of cataract with insertion of lens	25	15	$225.00	$94.13
92004 New patient complete exam of visual system	19	19	$162.37	$142.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	129	123	$155.00	$120.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$155.00	$123.10
92004 New patient complete exam of visual system	30	30	$155.00	$143.22
66984 Removal of cataract with insertion of lens	18	12	$225.00	$92.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$155.83	$153.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	167	164	$155.00	$121.81
92004 New patient complete exam of visual system	48	48	$155.00	$145.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$155.00	$125.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$155.00	$155.00
66984 Removal of cataract with insertion of lens	17	12	$225.00	$99.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	103	103	$155.00	$122.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	56	$155.00	$105.97
92004 New patient complete exam of visual system	45	45	$155.00	$145.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$155.00	$154.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	121	120	$155.25	$121.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	94	$155.90	$106.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$155.00	$154.08
92004 New patient complete exam of visual system	45	45	$155.00	$146.85
66984 Removal of cataract with insertion of lens	18	13	$225.00	$117.97
92250 Photography of the retina	13	13	$150.00	$48.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	110	106	$155.00	$121.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	66	$155.00	$104.90
92004 New patient complete exam of visual system	51	51	$155.00	$146.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$155.00	$153.55
66984 Removal of cataract with insertion of lens	26	17	$225.00	$115.70
92250 Photography of the retina	12	12	$150.00	$54.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	153	151	$155.00	$114.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$155.00	$151.70
92004 New patient complete exam of visual system	53	53	$155.00	$138.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$155.00	$100.49
66984 Removal of cataract with insertion of lens	34	24	$225.00	$113.28

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 376928-9934

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2007

Registered at 48 S MAIN ST, NEPHI, UT 846481708 (Tel: 4356232100)

📍

Updated Business Mailing Address December 18, 2007

Registered at 48 S MAIN ST, PO BOX 196, NEPHI, UT 846481708 (Tel: 4356232100)

👤

Provider Name / Credentials Updated December 18, 2007

Recorded as JAMES COPE, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2007

Optometrist (License #376928-9934 in UT)

🟢

Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780611954

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2006

Last Update: December 18, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

48 S Main St, Po Box 196

Nephi, UT 846481708

Phone: 4356232100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.