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JON PRESTON WILSON O.D.
NPI 1760477731
Optometrist in Roosevelt, UT

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
165 W 200 N, 71-7, ROOSEVELT, UT 84066(435) 722-2981(435) 722-3732 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Preston Wilson O.d. NPPES

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

JON PRESTON WILSON O.D. (NPI 1760477731) is an individual optometrist in Roosevelt, Utah, licensed in Utah (4944063-9934) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2001).

NPPES Registry Identity

NPI1760477731
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJON PRESTON WILSONCredential: O.D.
Location Address165 W 200 N, 71-7Roosevelt, UT 84066-2834
Mailing Address165 W 200 N, 71-7Roosevelt, UT 84066-2834 · (435) 722-2981 · Fax (435) 722-3732
Phone(435) 722-2981
Fax(435) 722-3732
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2001
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJune 18, 2008
✔ NPI 1760477731 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 UT · 4944063-9934
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.
165 W 200 N, Roosevelt, UT 84066
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Other Identifiers 9

Other87041538400001Ntca
Other49440639900001UT · Bcbs
OtherUT4063Eyemed
Other870444057Vsp
Other1015UT · Opticare
Medicare UPINU87872
Other67467Pehp
Other000012521UT · Medicare Legacy Number
Other49440639900001UT · Valucare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Jon Preston Wilson 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 ID1658445929
PECOS Enrollment IDI20080805000072
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 10

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.
225 services94 patients
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.
156 services156 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.
116 services105 patients
Removal of eyelashes using forceps 67820
The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.
44 services14 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.
30 services23 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.
30 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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
100%25 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 3

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

ROOSEVELT VISION CLINIC, PC
Optometrist
165 W 200 N, 71-7
ROOSEVELT, UT 84066
Duchesne County (435) 722-2981
MR. SCOTT H KOWALLIS O.D.
Optometrist
165 W 200 N, 71-7
ROOSEVELT, UT 84066
Duchesne County (435) 722-2981
JASON KOWALLIS OD
Optometrist
165 W 200 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-5890

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 Jon Wilson's NPI number?

The NPI number for Jon Wilson is 1760477731. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Jon Wilson located?

Jon Wilson practices at 165 W 200 N 71-7, Roosevelt, UT 84066. The listed phone number is (435) 722-2981.

What is Jon Wilson's specialty?

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

Is Jon Wilson enrolled in Medicare?

Yes. Jon Wilson 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 Jon Wilson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jon Wilson 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 Jon Wilson was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.