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JESSE BEN MIZE III O.D.
NPI 1235104068
Optometrist in Ravenswood, WV

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
706 WASHINGTON ST, RAVENSWOOD, WV 26164(304) 273-2020 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesse Ben Mize Iii O.d. NPPES

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

JESSE BEN MIZE III O.D. (NPI 1235104068) is an individual optometrist in Ravenswood, West Virginia, licensed in West Virginia (924-OD) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1235104068
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJESSE BEN MIZE IIICredential: O.D.
Location Address706 WASHINGTON STRavenswood, WV 26164-1772
Mailing Address706 Washington StRavenswood, WV 26164-1772 · (304) 273-2020
Phone(304) 273-2020
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1993
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1235104068 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 WV · 924-OD
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.
706 WASHINGTON ST, Ravenswood, WV 26164
Open in Google Maps ↗

Other Identifiers 4

Medicare PINDO1772WV
Medicare UPINU45502WV
Medicare ID-Type UnspecifiedMI0750881WV
Medicaid0149760000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.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

Jesse Ben Mize Iii O.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 ID7416907787
PECOS Enrollment IDI20050125000322
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.
206 services206 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.
164 services82 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.
108 services107 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.
79 services57 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
39 services37 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.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26164 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.49
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
64%145 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
99%362 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
70%125 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
46%2,747 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%96 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%690 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

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 supplier19 claims19 services$49.80 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 4

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

CHRISTINE R MIZE O.D.
Optometrist
706 WASHINGTON ST
RAVENSWOOD, WV 26164
Jackson County (304) 273-2020
JESSE LOGAN MIZE OD
Optometrist
706 WASHINGTON ST
RAVENSWOOD, WV 26164
Jackson County (304) 273-2020
ADARA LEE OD
Optometrist
706 WASHINGTON ST
RAVENSWOOD, WV 26164
Jackson County (304) 273-2020
JESSE BEN MIZE III & CHRISTIE MIZE PTR
Optometrist
706 WASHINGTON ST
RAVENSWOOD, WV 26164
Jackson County (304) 273-2020

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 Jesse Mize's NPI number?

The NPI number for Jesse Mize is 1235104068. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Jesse Mize located?

Jesse Mize practices at 706 Washington St, Ravenswood, WV 26164. The listed phone number is (304) 273-2020.

What is Jesse Mize's specialty?

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

Is Jesse Mize enrolled in Medicare?

Yes. Jesse Mize 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 Jesse Mize accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Jesse Mize 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 Jesse Mize was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.