JONATHAN J DORN OD
NPI 1154327435
Optometrist in Manahawkin, NJ

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 597-8087(609) 597-7192 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan J Dorn Od NPPES

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

JONATHAN J DORN OD (NPI 1154327435) is an individual optometrist in Manahawkin, New Jersey, licensed in New Jersey (27OA00505500) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1990).

NPPES Registry Identity

NPI1154327435
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJONATHAN J DORNCredential: OD
Location Address1206 ROUTE 72 WManahawkin, NJ 08050-2414
Mailing Address1206 Route 72 WManahawkin, NJ 08050-2414 · (609) 597-8087 · Fax (609) 597-7192
Fax(609) 597-7192
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1990
Enumeration DateJune 22, 2005
Last NPPES UpdateNovember 13, 2019
NPI 1154327435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NJ · 27OA00505500 Licensed in NJ · 27OM00013700
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.
1206 ROUTE 72 W, Manahawkin, NJ 08050

Other Identifiers 14

Medicaid0099937NJ
Other1066306NJ · Horizon Nj Healthcare
Other191112NJ · Amerigroup
Other6021624NJ · Cigna
Medicaid7497806NJ
Other0448874000NJ · Amerihealth
Other38180NJ · Davis Vision
Other1K6864NJ · Healthnet
Other27OA00505500NJ · Nj License
Other311078NJ · Nva
Other0045402NJ · Aetna
Other13738NJ · Spectera
Other3429901000NJ · Amerihealth
OtherP00616550NJ · Railroad Travelers

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

Jonathan J Dorn Od 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 ID9931280435
PECOS Enrollment IDI20080122000468
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 9

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.
434 services397 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.
307 services206 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.
164 services152 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).
89 services88 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.
73 services73 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.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
65%63 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
89%56 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%529 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 75 patients
99%75 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
93%87 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 202 patients
0%202 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.

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
3 suppliers30 claims30 services$49.74 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims22 services$48.39 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 9

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

Ophthalmology
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Optometrist
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Durable Medical Equipment & Medical Supplies
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Technician/Technologist (Optician)
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ophthalmology
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ophthalmology
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ophthalmology
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ophthalmology
1206 ROUTE 72 W
MANAHAWKIN, NJ 08050

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 Jonathan Dorn's NPI number?

The NPI number for Jonathan Dorn is 1154327435. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Jonathan Dorn located?

Jonathan Dorn practices at 1206 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 597-8087.

What is Jonathan Dorn's specialty?

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

Is Jonathan Dorn enrolled in Medicare?

Yes. Jonathan Dorn 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 Jonathan Dorn accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jonathan Dorn 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 Jonathan Dorn was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.