JESSE BEN MIZE III O.D.
NPI 1235104068
Optometrist in Ravenswood, WV
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jesse Mize reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ravenswood, WV 26164
- Reassigned Medicare billing, West Virginia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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
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.
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.
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.
Which organization bills Medicare for Jesse Mize's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Mize reassigns Medicare benefits to Jesse Ben Mize III & Christie Mize Ptr (Ravenswood, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Mize's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Mize accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer 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.
# Jesse Ben Mize III, O.D. · NPI 1235104068
Optometrist provider in Ravenswood, West Virginia. Individual provider, active in the CMS NPPES registry since February 23, 2006.
## Identity
- **NPI:** 1235104068 (Entity type: Individual)
- **Enumerated:** February 23, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 924-OD (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 706 WASHINGTON ST, Ravenswood, WV 26164-1772
- **Phone:** (304) 273-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jesse Ben Mize III & Christie Mize Ptr (NPI 1881643583, Ravenswood, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 1993
## Record status
- **NPPES last updated:** February 12, 2010
- **Other identifiers:** Medicare PIN DO1772 (WV); Medicare UPIN U45502 (WV); Medicare ID-Type Unspecified MI0750881 (WV); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1235104068) · Data from the CMS NPPES public registry.