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JONATHAN PAUL JUDISCH OD
NPI 1285784280
Optometrist in Lake City, IA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
97.43/100
CMS Quality Rating
1341 W MAIN ST, LAKE CITY, IA 51449(712) 464-3136(712) 464-7683 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jonathan Paul Judisch Od NPPES

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

JONATHAN PAUL JUDISCH OD (NPI 1285784280) is an individual optometrist in Lake City, Iowa, licensed in Iowa (02262) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2003).

NPPES Registry Identity

NPI1285784280
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJONATHAN PAUL JUDISCHCredential: OD
Location Address1341 W MAIN STLake City, IA 51449-0124
Mailing Address1341 W Main St, Po Box 124Lake City, IA 51449-0124 · (712) 464-3136 · Fax (712) 464-7683
Phone(712) 464-3136
Fax(712) 464-7683
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2003
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJanuary 8, 2010
✔ NPI 1285784280 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 IA · 02262
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.
1341 W MAIN ST, Lake City, IA 51449
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Other Identifiers 8

Medicaid10025030700NE
Medicaid0418657IA
Medicare PINI10141IA
Medicare PINI10142IA
OtherP00052944Rr Medicare
Medicare PINI10143IA
Medicare UPINU96062
Other35539IA · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Jonathan Paul Judisch 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 ID8426189754
PECOS Enrollment IDI20100629000960
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 12

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.

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.
512 services407 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.
390 services387 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.
359 services267 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.
329 services188 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).
157 services110 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.
118 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51449 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

97.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.86
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%205 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
98%90 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%1,136 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
84%256 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 84% · 58 patients
9%58 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%90 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 763 patients
Patients totalRate: 0% · 763 patients
0%763 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 2

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
4 suppliers25 claims25 services$52.06 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers31 claims55 services$40.43 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

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

JUDISCH VISION PC
Optometrist
1341 W MAIN ST
LAKE CITY, IA 51449
Calhoun County (712) 464-3136

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 Judisch's NPI number?

The NPI number for Jonathan Judisch is 1285784280. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Jonathan Judisch located?

Jonathan Judisch practices at 1341 W Main St, Lake City, IA 51449. The listed phone number is (712) 464-3136.

What is Jonathan Judisch's specialty?

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

Is Jonathan Judisch enrolled in Medicare?

Yes. Jonathan Judisch 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 Judisch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Jonathan Judisch 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 Jonathan Judisch was last updated on January 8, 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.