MR. JAMISON R RIDGELEY MD
NPI 1174780530
Ophthalmology in Renton, WA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
1412 SW 43RD ST, SUITE 206, RENTON, WA 98057(253) 236-5720(425) 988-0168 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2024, Feb 9, 2024, Mar 28, 2016 and 1 more (4 updates tracked since 2016).

About Mr. Jamison R Ridgeley Md NPPES

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

MR. JAMISON R RIDGELEY MD (NPI 1174780530) is an individual ophthalmology provider in Renton, Washington, licensed in Washington (MD60638738) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174780530
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. JAMISON R RIDGELEYCredential: MD
Location Address1412 SW 43RD ST, SUITE 206Renton, WA 98057
Mailing Address1412 Sw 43rd St, Suite 206Renton, WA 98057 · (253) 236-5720 · Fax (425) 988-0168
Fax(425) 988-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 21, 2008
Last NPPES UpdateNovember 24, 20244 updates tracked since enumeration
NPPES CertifiedNovember 24, 2024
NPI 1174780530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WA · MD60638738
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.
1412 SW 43RD ST, Renton, WA 98057

Other Identifiers 2

Medicaid1184191603WA
Medicaid1174780530NC

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

Mr. Jamison R Ridgeley Md 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 ID9133315831
PECOS Enrollment IDI20160517000604, I20250807004312
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.

Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
388 services21 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.
356 services112 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.
213 services106 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
195 services29 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
139 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Counselor (Mental Health)
1412 SW 43RD ST, SUITE 111
RENTON, WA 98057
Technician
1412 SW 43RD ST
RENTON, WA 98057
Student in an Organized Health Care Education/Training Program
1412 SW 43RD ST
RENTON, WA 98057
Nurse Practitioner (Women's Health)
1412 SW 43RD ST, SUITE 200
RENTON, WA 98057
Ophthalmology (Retina Specialist)
1412 SW 43RD ST
RENTON, WA 98057
Counselor
1412 SW 43RD ST
RENTON, WA 98057
Counselor (Mental Health)
1412 SW 43RD ST, SUITE 111
RENTON, WA 98057
Pharmacy (Long Term Care Pharmacy)
1412 SW 43RD ST, SUITE 120
RENTON, WA 98057

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 Jamison Ridgeley's NPI number?

The NPI number for Jamison Ridgeley is 1174780530. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Jamison Ridgeley located?

Jamison Ridgeley practices at 1412 SW 43rd St Suite 206, Renton, WA 98057. The listed phone number is (253) 236-5720.

What is Jamison Ridgeley's specialty?

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

Is Jamison Ridgeley enrolled in Medicare?

Yes. Jamison Ridgeley 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 Jamison Ridgeley accept?

Health plans from Blue Cross Blue Shield of North Dakota, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Sanford Health Plan list Jamison Ridgeley 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.

Is Jamison Ridgeley affiliated with any hospitals?

According to CMS data, Jamison Ridgeley is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Jamison Ridgeley was last updated on November 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.