DR. PAMELA ROSEMARY JETTER OD
NPI 1497270193
Optometrist in Livermore, CA

Active since August 03, 2017PECOS Enrolled
1800 4TH ST, LIVERMORE, CA 94550(925) 447-3883 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pamela Rosemary Jetter Od NPPES

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

DR. PAMELA ROSEMARY JETTER OD (NPI 1497270193) is an individual optometrist in Livermore, California, licensed in California (10604T) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1995).

NPPES Registry Identity

NPI1497270193
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAMELA ROSEMARY JETTERCredential: OD
Location Address1800 4TH STLivermore, CA 94550-4454
Mailing Address3618 Cameron AvePleasanton, CA 94588-2616 · (408) 605-6314
Sole ProprietorYes
Medical School CMSUniversity Of California - School Of OptometryGraduated 1995
Enumeration DateAugust 3, 2017
✔ NPI 1497270193 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 CA · 10604T
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.
1800 4TH ST, Livermore, CA 94550

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pamela Rosemary Jetter Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779842786
PECOS Enrollment IDI20180122000341
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

2

Medicare enrollment records show Pamela Jetter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1800 4TH ST
Livermore, CA 94550
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Optometrist
440 IGNACIO BLVD
Novato, CA 94949
  • Reassigned Medicare billing, California enrollment
  • 28 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.

Areas of Expertise CMS Part B claims 2

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 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.
38 services35 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 6

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

Optometrist (Corneal and Contact Management)
1800 4TH ST
LIVERMORE, CA 94550
Optometrist
1800 4TH ST
LIVERMORE, CA 94550
Optometrist
1800 4TH ST
LIVERMORE, CA 94550
Optometrist
1800 4TH ST
LIVERMORE, CA 94550
Optometrist
1800 4TH ST
LIVERMORE, CA 94550
Optometrist
1800 4TH ST
LIVERMORE, CA 94550

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 Pamela Jetter's NPI number?

The NPI number for Pamela Jetter is 1497270193. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Pamela Jetter located?

Pamela Jetter practices at 1800 4th St, Livermore, CA 94550. The listed phone number is (925) 447-3883.

What is Pamela Jetter's specialty?

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

Is Pamela Jetter enrolled in Medicare?

Yes. Pamela Jetter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pamela Jetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Jetter reassigns Medicare benefits to 2 organizations: Livermore Optometry Group (Livermore, CA) and Ecs Of Bay Area Optometry Corporation (Novato, CA). 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 Pamela Jetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Jetter accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Pamela Jetter 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 Pamela Jetter was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.