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JEFFERY JAY PASS OD
NPI 1265414064
Optometrist in Lafayette, IN

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
2200 ELMWOOD AVE, STE D-4, LAFAYETTE, IN 47904(765) 446-2814(765) 447-2870 Get Directions Write a Review

NPPES record last updated: January 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffery Jay Pass Od NPPES

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

JEFFERY JAY PASS OD (NPI 1265414064) is an individual optometrist in Lafayette, Indiana, licensed in Indiana (18002083B) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1983).

NPPES Registry Identity

NPI1265414064
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFERY JAY PASSCredential: OD
Location Address2200 ELMWOOD AVE, STE D-4Lafayette, IN 47904-2347
Mailing Address2200 Elmwood Ave, Ste D-4Lafayette, IN 47904-2347 · (765) 446-2814 · Fax (765) 447-2870
Phone(765) 446-2814
Fax(765) 447-2870
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1983
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 24, 2016
✔ NPI 1265414064 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 IN · 18002083B
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.
2200 ELMWOOD AVE, Lafayette, IN 47904
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Other Identifiers 3

Medicare ID-Type Unspecified224950B
Medicaid100100720IN
Medicare UPINT35142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jeffery Jay Pass 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 ID840248662
PECOS Enrollment IDI20050108000195
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 6

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 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.
170 services170 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.
107 services107 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
39 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services37 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
35 services20 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. JEFFREY EDMUND KIRCHNER O.D.
Optometrist
2200 ELMWOOD AVE
LAFAYETTE, IN 47904
Tippecanoe County (765) 446-2814

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 Jeffery Pass's NPI number?

The NPI number for Jeffery Pass is 1265414064. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Jeffery Pass located?

Jeffery Pass practices at 2200 Elmwood Ave Ste D-4, Lafayette, IN 47904. The listed phone number is (765) 446-2814.

What is Jeffery Pass's specialty?

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

Is Jeffery Pass enrolled in Medicare?

Yes. Jeffery Pass 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 Jeffery Pass accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Jeffery Pass 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 Jeffery Pass was last updated on January 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.