DR. RANDAL D JENTZEN OD
NPI 1417981358
Optometrist in Amarillo, TX
About Dr. Randal D Jentzen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDAL D JENTZEN OD (NPI 1417981358) is an individual optometrist in Amarillo, Texas, licensed in Texas (5171TG) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Randal D Jentzen 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
3Medicare enrollment records show Randal Jentzen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87111
- Reassigned Medicare billing, New Mexico enrollment
- 2 clinicians in this Medicare group
Albuquerque, NM 87111
- Reassigned Medicare billing, New Mexico enrollment
- 12 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 5 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 79119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
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 Randal Jentzen's NPI number?
The NPI number for Randal Jentzen is 1417981358. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Randal Jentzen located?
Randal Jentzen practices at 5221 S Coulter St, Amarillo, TX 79119. The listed phone number is (806) 358-3594.
What is Randal Jentzen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Randal Jentzen enrolled in Medicare?
Yes. Randal Jentzen 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 Randal Jentzen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randal Jentzen reassigns Medicare benefits to 3 organizations: New Mexico Eye Care Associates (Albuquerque, NM), Albuquerque Associates Of Optometry (Albuquerque, NM) and Albuquerque Vision Clinic LLC (Albuquerque, NM). 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 Randal Jentzen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randal Jentzen accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Randal Jentzen 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 Randal Jentzen was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Randal D Jentzen, OD · NPI 1417981358
Optometrist provider in Amarillo, Texas. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1417981358 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5171TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5221 S COULTER ST, Amarillo, TX 79119-6676
- **Phone:** (806) 358-3594 · **Fax:** (806) 457-1660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): New Mexico Eye Care Associates (NPI 1831579572, Albuquerque, NM); Albuquerque Associates Of Optometry (NPI 1114058005, Albuquerque, NM); Albuquerque Vision Clinic LLC (NPI 1770640500, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** April 20, 2018
- **Other identifiers:** Medicaid 092986101 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1417981358) · Data from the CMS NPPES public registry.