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JACK L HOSTETLER O.D.
NPI 1760486500
Optometrist in Gilbert, AZ

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
2680 S VAL VISTA DR, #111, GILBERT, AZ 85295(480) 807-0288(480) 299-7199 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L Hostetler O.d. NPPES

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

JACK L HOSTETLER O.D. (NPI 1760486500) is an individual optometrist in Gilbert, Arizona, licensed in Arizona (349) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1980).

NPPES Registry Identity

NPI1760486500
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACK L HOSTETLERCredential: O.D.
Location Address2680 S VAL VISTA DR, #111Gilbert, AZ 85295-2152
Mailing Address2680 S Val Vista Dr, #111Gilbert, AZ 85295-2152 · (480) 807-0288 · Fax (480) 299-7199
Phone(480) 807-0288
Fax(480) 299-7199
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1980
Enumeration DateJune 9, 2005
Last NPPES UpdateJune 25, 2008
✔ NPI 1760486500 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 AZ · 349
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.
2680 S VAL VISTA DR, Gilbert, AZ 85295
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Other Identifiers 2

Medicaid860439395AZ
Medicare UPINT41753AZ

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

Jack L Hostetler 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 ID6204856529
PECOS Enrollment IDI20051201000649
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 3

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.
94 services93 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services25 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

DR. JONATHAN EGAN WOLD OD
Optometrist
2680 S VAL VISTA DR, #111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
JOLE-LANEE GUIDO AGACNP-BC
Nurse Practitioner (Acute Care)
2680 S VAL VISTA DR, SUITE 116
GILBERT, AZ 85295
Maricopa County (480) 507-5678
MRS. JENNIFER M KRAUSE MA, CCC-A
Audiologist
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110
ARIZONA ADVANCED ENDOSCOPY LLC
Clinic/Center (Ambulatory Surgical)
2680 S VAL VISTA DR, SUITE 127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
SAN TAN EYECARE PLC
Optometrist
2680 S VAL VISTA DR, SUITE 111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
ARIZONA ADVANCED ANESTHESIA LLC
Anesthesiology
2680 S VAL VISTA DR, SUITE #127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
JAMES MICHAEL REIDY D.O.
Otolaryngology (Plastic Surgery within the Head & Neck)
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110
RENOVO CLINIC
Clinic/Center (Health Service)
2680 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85295
Maricopa County (480) 214-5099

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 Jack Hostetler's NPI number?

The NPI number for Jack Hostetler is 1760486500. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jack Hostetler located?

Jack Hostetler practices at 2680 S Val Vista Dr #111, Gilbert, AZ 85295. The listed phone number is (480) 807-0288.

What is Jack Hostetler's specialty?

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

Is Jack Hostetler enrolled in Medicare?

Yes. Jack Hostetler 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 Jack Hostetler 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 3 other insurers list Jack Hostetler 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 Jack Hostetler was last updated on June 25, 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.