DR. JASON WESLEY FORNARA O.D.
NPI 1093149320
Optometrist in Cottonwood, AZ

Active since August 22, 2013PECOS EnrolledAccepts Medicare Assignment
37.5/100
CMS Quality Rating
199 S CANDY LN, SUITE #2, COTTONWOOD, AZ 86326(928) 634-2883 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jason Wesley Fornara O.d. NPPES

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

DR. JASON WESLEY FORNARA O.D. (NPI 1093149320) is an individual optometrist in Cottonwood, Arizona, licensed in Arizona (1943) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093149320
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JASON WESLEY FORNARACredential: O.D.
Location Address199 S CANDY LN, SUITE #2Cottonwood, AZ 86326-4183
Mailing Address199 S Candy Ln, Suite #2Cottonwood, AZ 86326-4183 · (928) 634-2883
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 22, 2013
NPI 1093149320 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 AZ · 1943
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.
199 S CANDY LN, Cottonwood, AZ 86326

Accepted 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. Jason Wesley Fornara 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 ID7315172624
PECOS Enrollment IDI20131022001579
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 17

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.
1,236 services969 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.
890 services800 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.
458 services408 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.
398 services202 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.
381 services371 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
197 services195 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86326 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

37.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality25
Improvement Activities20

Other Providers at the Same Location NPPES 5

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

Family Medicine
199 S CANDY LN, STE. 1A
COTTONWOOD, AZ 86326
Dentist
199 S CANDY LN, SUITE 4-A
COTTONWOOD, AZ 86326
Optometrist
199 S CANDY LN, 2A
COTTONWOOD, AZ 86326
Surgery
199 S CANDY LN, SUITE 1A
COTTONWOOD, AZ 86326
Optometrist
199 S CANDY LN, SUITE 2A
COTTONWOOD, AZ 86326

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 Jason Fornara's NPI number?

The NPI number for Jason Fornara is 1093149320. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Where is Jason Fornara located?

Jason Fornara practices at 199 S Candy Ln Suite #2, Cottonwood, AZ 86326. The listed phone number is (928) 634-2883.

What is Jason Fornara's specialty?

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

Is Jason Fornara enrolled in Medicare?

Yes. Jason Fornara 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 Jason Fornara accept?

Health plans from Blue Cross Blue Shield of Arizona and Providence Health Plan list Jason Fornara 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 Jason Fornara was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.