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MR. JACKSON DAVID CAREY OD
NPI 1790350866
Optometrist in Columbus, OH

Active since May 21, 2021PECOS Enrolled
90.38/100
CMS Quality Rating
5965 E BROAD ST STE 480, COLUMBUS, OH 43213(614) 751-4070 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jackson David Carey Od NPPES

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

MR. JACKSON DAVID CAREY OD (NPI 1790350866) is an individual optometrist in Columbus, Ohio, licensed in Ohio (OPT.006946) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Ohio State University - College Of Optometry (2021).

NPPES Registry Identity

NPI1790350866
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. JACKSON DAVID CAREYCredential: OD
Location Address5965 E BROAD ST STE 480Columbus, OH 43213-1562
Mailing Address1210 Chambers Rd Apt 305bColumbus, OH 43212-1726 · (304) 914-5290
Phone(614) 751-4070
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2021
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1790350866 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 OH · OPT.006946
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.
5965 E BROAD ST STE 480, Columbus, OH 43213
Open in Google Maps ↗

Secondary Practice Location 1

Location 15155 Bradenton Ave Ste 200Dublin, OH 43017-7560 · Phone (614) 766-2006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Mr. Jackson David Carey Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951703149
PECOS Enrollment IDI20210709002898
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 Reassignments

2

Medicare enrollment records show Jackson Carey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Vision, LLC
4.1 mi
Clinic/Center
2314 TAYLOR PARK DR
Reynoldsburg, OH 43068
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1225461544 (614) 863-0071
Cei Physicians Psc LLC
97 mi
Ophthalmology
1945 CEI DR
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 225 clinicians in this Medicare group
NPI 1942296298 (513) 569-3741

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 5

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.
34 services30 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.
20 services20 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.
18 services17 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.
15 services14 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

MACKENZIE MAY GERSHOM OD
Optometrist
5965 E BROAD ST STE 480
COLUMBUS, OH 43213
Franklin County (614) 751-4070
LAUREN DAVIS OD
Optometrist
5965 E BROAD ST STE 480
COLUMBUS, OH 43213
Franklin County (614) 751-4070

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 Jackson Carey's NPI number?

The NPI number for Jackson Carey is 1790350866. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Jackson Carey located?

Jackson Carey practices at 5965 E Broad St Ste 480, Columbus, OH 43213. The listed phone number is (614) 751-4070.

What is Jackson Carey's specialty?

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

Is Jackson Carey enrolled in Medicare?

Yes. Jackson Carey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jackson Carey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Carey reassigns Medicare benefits to 2 organizations: Grace Vision, LLC (Reynoldsburg, OH) and Cei Physicians Psc LLC (Cincinnati, OH). Each 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 Jackson Carey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Carey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 11 other insurers list Jackson Carey 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 Jackson Carey was last updated on May 21, 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.