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JACQUELYN A O'BANION MD
NPI 1003040262
Ophthalmology in Oklahoma City, OK

Active since May 03, 2009PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-6060(405) 271-1926 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2017, Dec 14, 2015 (2 updates tracked since 2015).

About Jacquelyn A O'banion Md NPPES

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

JACQUELYN A O'BANION MD (NPI 1003040262) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (27920) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2009).

NPPES Registry Identity

NPI1003040262
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJACQUELYN A O'BANIONCredential: MD
Location Address608 STANTON L YOUNG BLVDOklahoma City, OK 73104-5014
Mailing Address1365b Clifton Rd Ne, Emory Clinic Building BAtlanta, GA 30322-1013 · (404) 778-2020
Phone(405) 271-6060
Fax(405) 271-1926
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2009
Enumeration DateMay 3, 2009
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1003040262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 27920
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
608 STANTON L YOUNG BLVD, Oklahoma City, OK 73104
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN298031YRYSOK
Medicaid200306430BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn A O'banion Md 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 ID4789827858
PECOS Enrollment IDI20160119001455
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacquelyn O'banion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
756 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014
The Emory Clinic Inc
759 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
142 services135 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
54 services49 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
37 services35 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.
35 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).
35 services34 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

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

CYNTHIA A BRADFORD M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
JILA NOORIKOLOURI MD
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
ILANA SILVERSTEIN MD
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7816
DR. BRIAN KEITH FIRESTONE M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
DAVID W PARKE II M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-1092
TAMMY LYN YANOVITCH MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
DR. JOHN M BELL M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
JEREMY F TAN M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060

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 Jacquelyn O'banion's NPI number?

The NPI number for Jacquelyn O'banion is 1003040262. It was assigned to this individual provider in the NPPES registry on May 3, 2009.

Where is Jacquelyn O'banion located?

Jacquelyn O'banion practices at 608 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-6060.

What is Jacquelyn O'banion's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jacquelyn O'banion enrolled in Medicare?

Yes. Jacquelyn O'banion 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.

Which organizations bill Medicare for Jacquelyn O'banion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn O'banion reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn O'banion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn O'banion accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jacquelyn O'banion 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.

Is Jacquelyn O'banion affiliated with any hospitals?

According to CMS data, Jacquelyn O'banion is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelyn O'banion was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.