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

Q: 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.

Q: What is Jack Hostetler's specialty?

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

Q: 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.

Active since June 09, 2005PECOS Enrolled

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: October 18, 2026.

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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.

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

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack L Hostetler O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jack Hostetler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Tan Eyecare Plc

Same address

Optometrist

2680 S VAL VISTA DR, SUITE 111
Gilbert, AZ 85295

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1114101136 (480) 807-0288

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 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 enrollment system.

Which organization bills Medicare for Jack Hostetler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hostetler reassigns Medicare benefits to San Tan Eyecare Plc (Gilbert, AZ). The 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 Jack Hostetler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Hostetler 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 Oscar Health and 7 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.