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JAY JUSTIN OLDER MD
NPI 1477531432
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Tampa, FL

Active since January 09, 2006PECOS Enrolled
4444 E FLETCHER AVE STE D, TAMPA, FL 33613(813) 971-3846(813) 977-2611 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay Justin Older Md NPPES

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

JAY JUSTIN OLDER MD (NPI 1477531432) is an individual ophthalmic plastic and reconstructive surgery provider in Tampa, Florida, licensed in Florida (ME21356) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477531432
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameJAY JUSTIN OLDERCredential: MD
Location Address4444 E FLETCHER AVE STE DTampa, FL 33613
Mailing Address4444 E Fletcher Ave Ste DTampa, FL 33613-4905 · (813) 971-3846 · Fax (813) 977-2611
Phone(813) 971-3846
Fax(813) 977-2611
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateSeptember 7, 2018
✔ NPI 1477531432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in FL · ME21356
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME21356 (FL)
4444 E FLETCHER AVE STE D, Tampa, FL 33613
Open in Google Maps ↗

Other Identifiers 5

Other29789FL · Bcbs Individual #
Other181907220FL · Railroad Medicare
Other624179FL · Aetna
OtherME0021356FL · State License #
Other1036672011FL · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Justin Older Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jay Older reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paul Herschel Bowman MD
4.4 mi
MOHS-Micrographic Surgery
5379 PRIMROSE LAKE CIRCLE
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1558378141 (813) 977-2040
The Eye Physicians Of Pinellas, PA
26 mi
Ophthalmology
148 13TH ST SW
Largo, FL 33770
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1114925153 (727) 581-8706
Pasadena Eye Center, LLC
29 mi
Ophthalmology
6950 CENTRAL AVE
St Petersburg, FL 33707
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1528083755 (727) 343-3004

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 33613 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%27 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%578 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%209 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%33 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.

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.

DR. FRANCIS LUGO DDS
Dentist
4444 E FLETCHER AVE STE D
TAMPA, FL 33613
Hillsborough County (813) 988-9276
ISMILE DENTISTRY
Dentist (General Practice)
4444 E FLETCHER AVE STE D
TAMPA, FL 33613
Hillsborough County (813) 988-9276

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 Jay Older's NPI number?

The NPI number for Jay Older is 1477531432. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Jay Older located?

Jay Older practices at 4444 E Fletcher Ave Ste D, Tampa, FL 33613. The listed phone number is (813) 971-3846.

What is Jay Older's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Jay Older enrolled in Medicare?

Yes. Jay Older is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jay Older's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Older reassigns Medicare benefits to 3 organizations: Paul Herschel Bowman MD (Tampa, FL), The Eye Physicians Of Pinellas, PA (Largo, FL) and Pasadena Eye Center, LLC (St Petersburg, 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 Jay Older's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jay Older was last updated on September 7, 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.