MR. JESSE JACOB FERTIG OD
NPI 1366557738
Optometrist in Kew Gardens, NY

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
12430 QUEENS BLVD, KEW GARDENS, NY 11415(718) 261-2344 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1366557738
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. JESSE JACOB FERTIGCredential: OD
Location Address12430 QUEENS BLVDKew Gardens, NY 11415-1501
Mailing Address12430 Queens BlvdKew Gardens, NY 11415-1501 · (718) 261-2344
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2001
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1366557738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NY · TUV007355 Licensed in WI · 3702-35 Licensed in IL · 346002045 Licensed in FL · TPOP68 Licensed in IA · 105426 Licensed in VA · 0618002935
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.
12430 QUEENS BLVD, Kew Gardens, NY 11415

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

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.

PECOS PAC ID9739087164
PECOS Enrollment IDI20091029000175
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.

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.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 2

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

Technician/Technologist (Optician)
12430 QUEENS BLVD
KEW GARDENS, NY 11415
Eyewear Supplier
12430 QUEENS BLVD
KEW GARDENS, NY 11415

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.

What insurance does Jesse Fertig accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 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.