JOHN JONES OD
NPI 1477968196
Optometrist in Oregon, OH

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
2740 NAVARRE AVE, OREGON, OH 43616(419) 693-4444(419) 693-4915 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2018, Aug 10, 2017, May 16, 2017 and 1 more (4 updates tracked since 2017).

About John Jones Od NPPES

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

JOHN JONES OD (NPI 1477968196) is an individual optometrist in Oregon, Ohio, licensed in Ohio (6527) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2014).

NPPES Registry Identity

NPI1477968196
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN JONESCredential: OD
Location Address2740 NAVARRE AVEOregon, OH 43616
Mailing AddressPo Box 549Wabash, IN 46992-0549 · (260) 569-9550 · Fax (260) 569-0760
Fax(419) 693-4915
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateAugust 15, 20184 updates tracked since enumeration
NPI 1477968196 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 OH · 6527 Licensed in IN · 18003853
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.
2740 NAVARRE AVE, Oregon, OH 43616

Other Identifiers 2

Medicaid0211303OH
Medicaid201230990IN

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

John Jones 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 ID2365667201
PECOS Enrollment IDI20140708002188
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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
401 services325 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
296 services296 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.
180 services169 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
113 services108 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).
103 services97 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.
82 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43616 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%99 patients4/55-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 9

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

Optometrist
2740 NAVARRE AVE
OREGON, OH 43616
Clinic/Center (Ophthalmologic Surgery)
2740 NAVARRE AVE
OREGON, OH 43616
Clinic/Center (Ambulatory Surgical)
2740 NAVARRE AVE
OREGON, OH 43616
Optometrist
2740 NAVARRE AVE
OREGON, OH 43616
Specialist
2740 NAVARRE AVE
OREGON, OH 43616
Optometrist
2740 NAVARRE AVE
OREGON, OH 43616
Durable Medical Equipment & Medical Supplies
2740 NAVARRE AVE
OREGON, OH 43616
Audiologist
2740 NAVARRE AVE
OREGON, OH 43616

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 John Jones's NPI number?

The NPI number for John Jones is 1477968196. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is John Jones located?

John Jones practices at 2740 Navarre Ave, Oregon, OH 43616. The listed phone number is (419) 693-4444.

What is John Jones's specialty?

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

Is John Jones enrolled in Medicare?

Yes. John Jones 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 John Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list John Jones 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 John Jones was last updated on August 15, 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.