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JACLYN DEANN ROUSE O.D.
NPI 1063898161
Optometrist in Hugo, OK

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
410 NORTH M STREET, HUGO, OK 74743(580) 326-7561(580) 326-7564 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Deann Rouse O.d. NPPES

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

JACLYN DEANN ROUSE O.D. (NPI 1063898161) is an individual optometrist in Hugo, Oklahoma, licensed in Oklahoma (2855) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063898161
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACLYN DEANN ROUSECredential: O.D.
Location Address410 NORTH M STREETHugo, OK 74743
Mailing Address410 North M StreetHugo, OK 74743 · (580) 326-7561 · Fax (580) 326-7564
Phone(580) 326-7561
Fax(580) 326-7564
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2015
Last NPPES UpdateFebruary 12, 2019
✔ NPI 1063898161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 2855
Definition
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.
410 NORTH M STREET, Hugo, OK 74743
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Deann Hicks O.d.

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

Jaclyn Deann Rouse O.d. 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 ID5991005050
PECOS Enrollment IDI20151123001529
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 Reassignment

Medicare enrollment records show Jaclyn Rouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choctaw Nation Of Oklahoma
Same address
Primary Care
410 NORTH M
Hugo, OK 74743
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1174599088 (918) 567-7000

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 6

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.
233 services219 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
155 services143 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.
76 services74 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services33 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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74743 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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%100 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jaclyn Rouse's NPI number?

The NPI number for Jaclyn Rouse is 1063898161. It was assigned to this individual provider in the NPPES registry on July 31, 2015. The provider is also known as Jaclyn Deann Hicks O.D..

Where is Jaclyn Rouse located?

Jaclyn Rouse practices at 410 North M Street, Hugo, OK 74743. The listed phone number is (580) 326-7561.

What is Jaclyn Rouse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jaclyn Rouse enrolled in Medicare?

Yes. Jaclyn Rouse 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 organization bills Medicare for Jaclyn Rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Rouse reassigns Medicare benefits to Choctaw Nation Of Oklahoma (Hugo, OK). The 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 Jaclyn Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jaclyn Rouse affiliated with any hospitals?

According to CMS data, Jaclyn Rouse is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Jaclyn Rouse was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.