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DR. JEREMIAH GAGNON OD
NPI 1407549207
Optometrist in Sandpoint, ID

Active since May 30, 2023PECOS EnrolledAccepts Medicare Assignment
710 W SUPERIOR ST STE B, SANDPOINT, ID 83864(208) 263-9000 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, May 30, 2023 (2 updates tracked since 2023).

About Dr. Jeremiah Gagnon Od NPPES

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

DR. JEREMIAH GAGNON OD (NPI 1407549207) is an individual optometrist in Sandpoint, Idaho, licensed in Idaho (ODO-100614) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407549207
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEREMIAH GAGNONCredential: OD
Location Address710 W SUPERIOR ST STE BSandpoint, ID 83864-1684
Mailing Address710 W Superior St Ste BSandpoint, ID 83864-1684 · (208) 946-7187
Phone(208) 263-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2023
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1407549207 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 ID · ODO-100614
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.
710 W SUPERIOR ST STE B, Sandpoint, ID 83864
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Secondary Practice Location 1

Location 13500 N Government Way Ste 102Coeur D Alene, ID 83815-5281 · Phone (208) 667-6545

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.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. Jeremiah Gagnon 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 ID4082072889
PECOS Enrollment IDI20230627002140
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 9

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.
115 services115 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.
94 services71 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
48 services48 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
42 services33 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).
30 services23 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.
29 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Jeremiah Gagnon's NPI number?

The NPI number for Jeremiah Gagnon is 1407549207. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Jeremiah Gagnon located?

Jeremiah Gagnon practices at 710 W Superior St Ste B, Sandpoint, ID 83864. The listed phone number is (208) 263-9000.

What is Jeremiah Gagnon's specialty?

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

Is Jeremiah Gagnon enrolled in Medicare?

Yes. Jeremiah Gagnon 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 Jeremiah Gagnon accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Jeremiah Gagnon 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 Jeremiah Gagnon was last updated on June 12, 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.