DR. JACQUELIN ESCOTO BENITEZ OD
NPI 1053084343
Optometrist in Olympia, WA
About Dr. Jacquelin Escoto Benitez Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELIN ESCOTO BENITEZ OD (NPI 1053084343) is an individual optometrist in Olympia, Washington, licensed in Washington (OD61291177) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dupont.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacquelin Escoto Benitez Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelin Escoto Benitez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tumwater, WA 98501
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Friendswood, TX 77546
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelin Escoto Benitez's NPI number?
The NPI number for Jacquelin Escoto Benitez is 1053084343. It was assigned to this individual provider in the NPPES registry on August 1, 2021.
Where is Jacquelin Escoto Benitez located?
Jacquelin Escoto Benitez practices at 215 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-4333.
What is Jacquelin Escoto Benitez's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacquelin Escoto Benitez enrolled in Medicare?
Yes. Jacquelin Escoto Benitez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacquelin Escoto Benitez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelin Escoto Benitez reassigns Medicare benefits to 2 organizations: Eye Love PLLC (Tumwater, WA) and Baybrook Modern Eyecare, P.L.L.C (Friendswood, TX). 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 Jacquelin Escoto Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelin Escoto Benitez accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jacquelin Escoto Benitez 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.
When was this NPI record last updated?
The NPPES record for Jacquelin Escoto Benitez was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Jacquelin Escoto Benitez, OD · NPI 1053084343
Optometrist provider in Olympia, Washington. Individual provider, active in the CMS NPPES registry since August 1, 2021.
## Identity
- **NPI:** 1053084343 (Entity type: Individual)
- **Enumerated:** August 1, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD61291177 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 LILLY RD NE, Olympia, WA 98506-5030
- **Phone:** (360) 923-4333 · **Fax:** (360) 456-3894
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Love PLLC (NPI 1093272841, Tumwater, WA); Baybrook Modern Eyecare, P.L.L.C (NPI 1033649066, Friendswood, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1053084343) · Data from the CMS NPPES public registry.