DR. JARED ROBERT WIDDER D.O.
NPI 1073048963
Ophthalmology in Los Angeles, CA
About Dr. Jared Robert Widder D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JARED ROBERT WIDDER D.O. (NPI 1073048963) is an individual ophthalmology provider in Los Angeles, California, licensed in California (16655) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jared Robert Widder D.o. 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.
Areas of Expertise CMS Part B claims 3
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 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Jared Widder's NPI number?
The NPI number for Jared Widder is 1073048963. It was assigned to this individual provider in the NPPES registry on April 27, 2017.
Where is Jared Widder located?
Jared Widder practices at 100 Stein Plz Fl 1, Los Angeles, CA 90095. The listed phone number is (310) 825-3090.
What is Jared Widder's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Jared Widder enrolled in Medicare?
Yes. Jared Widder 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.
When was this NPI record last updated?
The NPPES record for Jared Widder was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jared Robert Widder, D.O. · NPI 1073048963
Ophthalmology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 27, 2017.
## Identity
- **NPI:** 1073048963 (Entity type: Individual)
- **Enumerated:** April 27, 2017
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 16655 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 STEIN PLZ FL 1, Los Angeles, CA 90095-5000
- **Phone:** (310) 825-3090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2017
## Record status
- **NPPES last updated:** July 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073048963) · Data from the CMS NPPES public registry.