1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Optometrist
  6. NPI Profile

DR. NATHAN CODY MORTENSEN OD
NPI 1194253682
Optometrist in Rexburg, ID

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Cody Mortensen Od NPPES

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

DR. NATHAN CODY MORTENSEN OD (NPI 1194253682) is an individual optometrist in Rexburg, Idaho, licensed in Idaho (100403) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2017).

NPPES Registry Identity

NPI1194253682
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NATHAN CODY MORTENSENCredential: OD
Location Address49 E 1ST SRexburg, ID 83440-1966
Mailing Address1340 Fairview AveRexburg, ID 83440-5078 · (208) 351-4170
Phone(208) 356-4444
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2017
Enumeration DateMay 26, 2017
✔ NPI 1194253682 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 ID · 100403
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.
49 E 1ST S, Rexburg, ID 83440
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Nathan Cody Mortensen 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 ID5193097574
PECOS Enrollment IDI20170818002674
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 4

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.

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.
111 services109 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services92 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.
27 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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.

Other Providers at the Same Location NPPES 4

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

DR. H. SCOTT MORTENSEN III OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
DR. DARREN HATCH OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
DAMON SCOTT MORTENSEN OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
REXBURG VISION CENTER
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444

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 Nathan Mortensen's NPI number?

The NPI number for Nathan Mortensen is 1194253682. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Nathan Mortensen located?

Nathan Mortensen practices at 49 E 1st S, Rexburg, ID 83440. The listed phone number is (208) 356-4444.

What is Nathan Mortensen's specialty?

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

Is Nathan Mortensen enrolled in Medicare?

Yes. Nathan Mortensen 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 Nathan Mortensen 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, PacificSource Health Plans and Providence Health Plan and 2 other insurers list Nathan Mortensen 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 Nathan Mortensen was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.