PAUL H ERNEST MD
NPI 1508861659
Ophthalmology in Jackson, MI

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
1116 W GANSON ST, JACKSON, MI 49202(517) 782-9436(517) 782-5166 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul H Ernest Md NPPES

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

PAUL H ERNEST MD (NPI 1508861659) is an individual ophthalmology provider in Jackson, Michigan, licensed in Michigan (4301034151) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1973).

NPPES Registry Identity

NPI1508861659
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL H ERNESTCredential: MD
Location Address1116 W GANSON STJackson, MI 49202-4240
Mailing Address850 W North St Ste 104Jackson, MI 49202-3196 · (517) 841-3022 · Fax (517) 817-0144
Fax(517) 782-5166
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1973
Enumeration DateJune 16, 2005
Last NPPES UpdateSeptember 19, 2018
NPI 1508861659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301034151
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1116 W GANSON ST, Jackson, MI 49202

Other Identifiers 7

Medicaid3229602MI
Medicaid3286304MI
Other180019352Railroad Medicare
Other180C846310MI · Bcbsm
Other180F373640MI · Bcbsm
Other180H149970MI · Bcbsm
Medicaid3037757MI

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

Paul H Ernest Md 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 ID3072425529
PECOS Enrollment IDI20100622000934
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 12

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.

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.
457 services244 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
257 services257 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
229 services229 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.
209 services138 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.
181 services181 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.
56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49202 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES 11

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

Optometrist
1116 W GANSON ST
JACKSON, MI 49202
Student in an Organized Health Care Education/Training Program
1116 W GANSON ST
JACKSON, MI 49202
Optometrist
1116 W GANSON ST
JACKSON, MI 49202
Ophthalmology
1116 W GANSON ST
JACKSON, MI 49202
Ophthalmology
1116 W GANSON ST
JACKSON, MI 49202
Ophthalmology
1116 W GANSON ST
JACKSON, MI 49202
Optometrist
1116 W GANSON ST
JACKSON, MI 49202
Ophthalmology
1116 W GANSON ST
JACKSON, MI 49202

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 Paul Ernest's NPI number?

The NPI number for Paul Ernest is 1508861659. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Paul Ernest located?

Paul Ernest practices at 1116 W Ganson St, Jackson, MI 49202. The listed phone number is (517) 782-9436.

What is Paul Ernest's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Ernest enrolled in Medicare?

Yes. Paul Ernest 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 Paul Ernest accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Paul Ernest 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 Paul Ernest was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.