MARK GOERLITZ-JESSEN M.D.
NPI 1790132603
Ophthalmology in Kalispell, MT

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
175 TIMBERWOLF PKWY, KALISPELL, MT 59901(406) 257-2020(406) 257-5554 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Sep 15, 2020, May 20, 2016 (3 updates tracked since 2016).

About Mark Goerlitz-jessen M.d. NPPES

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

MARK GOERLITZ-JESSEN M.D. (NPI 1790132603) is an individual ophthalmology provider in Kalispell, Montana, licensed in Montana (91556) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2016).

NPPES Registry Identity

NPI1790132603
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK GOERLITZ-JESSENCredential: M.D.
Location Address175 TIMBERWOLF PKWYKalispell, MT 59901-1218
Mailing Address175 Timberwolf PkwyKalispell, MT 59901-1218 · (406) 257-2020 · Fax (406) 257-5554
Fax(406) 257-5554
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1790132603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MT · 91556
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.

175 TIMBERWOLF PKWY, Kalispell, MT 59901

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

Mark Goerlitz-jessen M.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 ID7214229145
PECOS Enrollment IDI20210618000638
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 26

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.
425 services245 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.
388 services232 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.
304 services180 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
297 services268 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.
284 services276 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.
254 services210 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost84.51

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims13 services$59.92 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims17 services$56.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Optometrist
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Optometrist
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Technician/Technologist (Optician)
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Ophthalmology
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Technician/Technologist (Optician)
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Technician/Technologist (Optician)
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Nurse Anesthetist, Certified Registered
175 TIMBERWOLF PKWY
KALISPELL, MT 59901
Ophthalmology (Retina Specialist)
175 TIMBERWOLF PKWY
KALISPELL, MT 59901

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 Mark Goerlitz-jessen's NPI number?

The NPI number for Mark Goerlitz-jessen is 1790132603. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Mark Goerlitz-jessen located?

Mark Goerlitz-jessen practices at 175 Timberwolf Pkwy, Kalispell, MT 59901. The listed phone number is (406) 257-2020.

What is Mark Goerlitz-jessen's specialty?

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

Is Mark Goerlitz-jessen enrolled in Medicare?

Yes. Mark Goerlitz-jessen 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 Mark Goerlitz-jessen accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Mark Goerlitz-jessen 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.

Is Mark Goerlitz-jessen affiliated with any hospitals?

According to CMS data, Mark Goerlitz-jessen is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Goerlitz-jessen was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.