DUSTIN J JONES OD
NPI 1174612394
Optometrist - Corneal and Contact Management in Salmon, ID

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
70/100
CMS Quality Rating
1301 MAIN ST, SUITE 10, SALMON, ID 83467(208) 756-2020(208) 756-3741 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin J Jones Od NPPES

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

DUSTIN J JONES OD (NPI 1174612394) is an individual corneal and contact management provider in Salmon, Idaho, licensed in Idaho (ODP-100011) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1174612394
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDUSTIN J JONESCredential: OD
Location Address1301 MAIN ST, SUITE 10Salmon, ID 83467-4451
Mailing Address1301 Main St, Suite 10Salmon, ID 83467-4451 · (208) 756-2020 · Fax (208) 756-3741
Fax(208) 756-3741
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 13, 2013
NPI 1174612394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in ID · ODP-100011
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Also ListedOptometristTaxonomy 152W00000X · License 5156353-9934 (UT)
1301 MAIN ST, Salmon, ID 83467

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

Dustin J Jones 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 ID3870539786
PECOS Enrollment IDI20070828000799
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 13

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.
819 services802 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.
603 services547 patients
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.
217 services178 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.
212 services148 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).
184 services124 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.
159 services159 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83467 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

70/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%265 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
69%124 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
7%28 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
99%2,787 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%522 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
88%2,289 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%143 patients
Provide Patients Electronic Access to Their Health Information
32%2,995 patients1/55-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 3

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 supplier20 claims20 services$49.14 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens V2204
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$47.26 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 supplier15 claims29 services$61.94 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 7

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

Dentist (General Practice)
1301 MAIN ST, SUITE 9
SALMON, ID 83467
Clinic/Center (Rehabilitation)
1301 MAIN ST
SALMON, ID 83467
Dentist (General Practice)
1301 MAIN ST, SUITE 9
SALMON, ID 83467
Optometrist
1301 MAIN ST, SUITE 10
SALMON, ID 83467
Dentist
1301 MAIN ST, SUITE 9
SALMON, ID 83467
Clinic/Center (Adolescent and Children Mental Health)
1301 MAIN ST
SALMON, ID 83467
Optometrist
1301 MAIN ST, SUITE #10
SALMON, ID 83467

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 Dustin Jones's NPI number?

The NPI number for Dustin Jones is 1174612394. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Dustin Jones located?

Dustin Jones practices at 1301 Main St Suite 10, Salmon, ID 83467. The listed phone number is (208) 756-2020.

What is Dustin Jones's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Dustin Jones enrolled in Medicare?

Yes. Dustin Jones 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 Dustin Jones 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, BlueCross BlueShield of Tennessee and PacificSource Health Plans and 1 other insurer list Dustin Jones 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 Dustin Jones was last updated on March 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.