CHARLES BONG O.D.
NPI 1649690314
Optometrist in Gresham, OR

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1201 SE 223RD AVE STE 160, GRESHAM, OR 97030(503) 492-2020 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Aug 11, 2020 (2 updates tracked since 2020).

About Charles Bong O.d. NPPES

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

CHARLES BONG O.D. (NPI 1649690314) is an individual optometrist in Gresham, Oregon, licensed in Oregon (AT4555) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2013).

NPPES Registry Identity

NPI1649690314
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES BONGCredential: O.D.
Location Address1201 SE 223RD AVE STE 160Gresham, OR 97030-2577
Mailing Address12822 Se 157th Ave Unit 202Happy Valley, OR 97086-4333
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2013
Enumeration DateApril 22, 2014
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
NPI 1649690314 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 OR · AT4555 Licensed in NJ · 27OA00651800
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.
1201 SE 223RD AVE STE 160, Gresham, OR 97030

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

Charles Bong O.d. 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 ID3173747789
PECOS Enrollment IDI20210723001779
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

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.33

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.

Optometrist
1201 SE 223RD AVE STE 160
GRESHAM, OR 97030
Optometrist
1201 SE 223RD AVE STE 160
GRESHAM, OR 97030

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 Charles Bong's NPI number?

The NPI number for Charles Bong is 1649690314. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Charles Bong located?

Charles Bong practices at 1201 SE 223rd Ave Ste 160, Gresham, OR 97030. The listed phone number is (503) 492-2020.

What is Charles Bong's specialty?

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

Is Charles Bong enrolled in Medicare?

Yes. Charles Bong 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 Charles Bong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Moda Health Plan, Inc. and 2 other insurers list Charles Bong 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 Charles Bong was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.