DR. JONATHAN M. JOSEPH M.D.
NPI 1285637645
Ophthalmology in Lafayette, LA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
97.3/100
CMS Quality Rating
214 SOUTHCITY PKWY STE 101, LAFAYETTE, LA 70503(337) 981-6430(337) 981-9134 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan M. Joseph M.d. NPPES

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

DR. JONATHAN M. JOSEPH M.D. (NPI 1285637645) is an individual ophthalmology provider in Lafayette, Louisiana, licensed in Louisiana (017696) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1984).

NPPES Registry Identity

NPI1285637645
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JONATHAN M. JOSEPHCredential: M.D.
Location Address214 SOUTHCITY PKWY STE 101Lafayette, LA 70503-5718
Mailing Address214 Southcity Pkwy Ste 101Lafayette, LA 70503-5718 · (337) 981-6430 · Fax (337) 981-9134
Fax(337) 981-9134
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateMay 31, 2005
Last NPPES UpdateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
NPI 1285637645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in LA · 017696
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.
214 SOUTHCITY PKWY STE 101, Lafayette, LA 70503

Other Identifiers 10

Other1285637645LA · Phcs
Other1285637645LA · United Healthcare
Other1285637645LA · St. Employees Group
Other1285637645LA · Blue Cross & Blue Shield
Other1285637645LA · Verity
Other1285637645LA · Ppo Plus
Other1285637645LA · American Lifecare
Other1285637645LA · Coventry
Other1285637645LA · Bestcare
Other1285637645LA · Gilsbar 360

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

Dr. Jonathan M. Joseph M.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 ID3173660826
PECOS Enrollment IDI20091112000248
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 14

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.
1,693 services1,597 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.
398 services380 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.
372 services296 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
259 services158 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
243 services227 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.
197 services151 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

97.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%261 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%31 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 829 patients
Patients screened: 100% · 829 patients
97%66 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%163 patients
Provide Patients Electronic Access to Their Health Information
95%3,414 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%20 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.

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.

Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Optometrist
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503
Ophthalmology
214 SOUTHCITY PKWY STE 101
LAFAYETTE, LA 70503

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 Jonathan Joseph's NPI number?

The NPI number for Jonathan Joseph is 1285637645. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Jonathan Joseph located?

Jonathan Joseph practices at 214 Southcity Pkwy Ste 101, Lafayette, LA 70503. The listed phone number is (337) 981-6430.

What is Jonathan Joseph's specialty?

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

Is Jonathan Joseph enrolled in Medicare?

Yes. Jonathan Joseph 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 Jonathan Joseph accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jonathan Joseph 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 Jonathan Joseph affiliated with any hospitals?

According to CMS data, Jonathan Joseph is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Joseph was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.