JASON DETTORI M.D.
NPI 1124281076
Ophthalmology in Everett, WA

Q: What is Jason Dettori's NPI number?

The NPI number for Jason Dettori is 1124281076. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Q: What is Jason Dettori's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Dettori was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment

2930 MAPLE ST, EVERETT, WA 98201(425) 261-1500 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Aug 14, 2017 (2 updates tracked since 2017).

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About Jason Dettori M.d. NPPES

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

JASON DETTORI M.D. (NPI 1124281076) is an individual ophthalmology provider in Everett, Washington, licensed in Washington (MD60236693) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Tufts University School Of Medicine (2008).

NPPES Registry Identity

NPI1124281076

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJASON DETTORICredential: M.D.

Location Address2930 MAPLE STEverett, WA 98201-3832

Mailing Address11511 Ne 10th StBellevue, WA 98004-8578 · (425) 502-3000 · Fax (425) 502-3589

Phone(425) 261-1500

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2008

Enumeration DateJuly 9, 2008

Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1124281076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · MD60236693

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD60236693 (WA)

2930 MAPLE ST, Everett, WA 98201

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Secondary Practice Location 1

Location 1736 Cambridge StBoston, MA 02135-2907 · Phone (617) 789-3000

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

Jason Dettori M.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 ID840449658

PECOS Enrollment IDI20121010000373

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

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.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 20

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

DAVID E. HARRIS O.D.

Optometrist