MR. JESSE JACOB FERTIG OD
NPI 1366557738
Optometrist in Kew Gardens, NY
About Mr. Jesse Jacob Fertig Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JESSE JACOB FERTIG OD (NPI 1366557738) is an individual optometrist in Kew Gardens, New York, licensed in New York (TUV007355) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2001).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jesse Jacob Fertig 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jesse Fertig reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kew Gardens, NY 11415
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Mc Lean, VA 22101
- Reassigned Medicare billing, Virginia enrollment
- 337 clinicians in this Medicare group
Jacksonville, FL 32225
- Reassigned Medicare billing, Florida enrollment
- 322 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Fertig's NPI number?
The NPI number for Jesse Fertig is 1366557738. It was assigned to this individual provider in the NPPES registry on August 19, 2006.
Where is Jesse Fertig located?
Jesse Fertig practices at 12430 Queens Blvd, Kew Gardens, NY 11415. The listed phone number is (718) 261-2344.
What is Jesse Fertig's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jesse Fertig enrolled in Medicare?
Yes. Jesse Fertig 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 organizations bill Medicare for Jesse Fertig's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Fertig reassigns Medicare benefits to 4 organizations: Lens Express Optical, Inc (Kew Gardens, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Myeyedr Optometry Of Virginia, PLLC (Mc Lean, VA) and Myeyedr Optometry Of Florida, LLC (Jacksonville, FL). Each 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 Fertig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Fertig accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Jesse Fertig 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 Fertig was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Jesse Jacob Fertig, OD · NPI 1366557738
Optometrist provider in Kew Gardens, New York. Individual provider, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1366557738 (Entity type: Individual)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV007355 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12430 QUEENS BLVD, Kew Gardens, NY 11415-1501
- **Phone:** (718) 261-2344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lens Express Optical, Inc (NPI 1942444914, Kew Gardens, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Myeyedr Optometry Of Virginia, PLLC (NPI 1710643515, Mc Lean, VA); Myeyedr Optometry Of Florida, LLC (NPI 1780121103, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2001
## Record status
- **NPPES last updated:** March 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366557738) · Data from the CMS NPPES public registry.