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DR. JEREMIAH V CHURCH O.D.
NPI 1083962245
Optometrist in Ogden, UT

Active since August 20, 2012PECOS EnrolledAccepts Medicare Assignment
875 COUNTRY HILLS DR, OGDEN, UT 84403(801) 399-1149 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, May 19, 2021, Oct 11, 2016 (3 updates tracked since 2016).

About Dr. Jeremiah V Church O.d. NPPES

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

DR. JEREMIAH V CHURCH O.D. (NPI 1083962245) is an individual optometrist in Ogden, Utah, licensed in Utah (5596291-9934) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083962245
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEREMIAH V CHURCHCredential: O.D.
Location Address875 COUNTRY HILLS DROgden, UT 84403-2200
Mailing Address1493 E Ridgeline Dr Ste 100South Ogden, UT 84405-4947 · (801) 399-1149 · Fax (801) 399-0248
Phone(801) 399-1149
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 20, 2012
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1083962245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 5596291-9934
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.
Also ListedOphthalmologyTaxonomy 207W00000X · License 5596291-9934 (UT)
875 COUNTRY HILLS DR, Ogden, UT 84403
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Secondary Practice Locations 2

Location 11483 E Ridgeline Dr Ste 100South Ogden, UT 84405-4977 · Phone (801) 399-1149 · Fax (801) 399-0248
Location 25991 S 3500 W Ste 400Roy, UT 84067-6702 · Phone (801) 399-1149 · Fax (801) 399-0248

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

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. Jeremiah V Church 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 ID2163660747
PECOS Enrollment IDI20200811002495
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.

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.

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.
190 services137 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services103 patients
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.
114 services114 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).
74 services53 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.
60 services51 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Reported Quality Measures

e-Prescribing
95%112 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%990 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$59.55 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims20 services$57.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. JASON D RUPP MD
Ophthalmology
875 COUNTRY HILLS DR
OGDEN, UT 84403
Weber County (314) 362-3431
BRADLEY W RICHARDS M.D.
Ophthalmology
875 COUNTRY HILLS DR
OGDEN, UT 84403
Weber County (801) 399-1149
DOUGLAS P FELT M.D.
Ophthalmology
875 COUNTRY HILLS DR
OGDEN, UT 84403
Weber County (801) 399-1149

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 Jeremiah Church's NPI number?

The NPI number for Jeremiah Church is 1083962245. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Jeremiah Church located?

Jeremiah Church practices at 875 Country Hills Dr, Ogden, UT 84403. The listed phone number is (801) 399-1149.

What is Jeremiah Church's specialty?

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

Is Jeremiah Church enrolled in Medicare?

Yes. Jeremiah Church 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.

What insurance does Jeremiah Church accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare, Providence Health Plan and Regence BlueCross BlueShield of Utah and 2 other insurers list Jeremiah Church 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 Jeremiah Church was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.