DR. BENJAMIN PON OD
NPI 1851944656
Optometrist in Clackamas, OR
About Dr. Benjamin Pon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN PON OD (NPI 1851944656) is an individual optometrist in Clackamas, Oregon, licensed in Oregon (4479) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin Pon Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Pon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAPPY VALLEY, OR 97086
PORTLAND, OR 97086
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 Benjamin Pon's NPI number?
The NPI number for Benjamin Pon is 1851944656. It was assigned to this individual provider in the NPPES registry on July 20, 2019.
Where is Benjamin Pon located?
Benjamin Pon practices at 12100 SE Stevens Ct, Clackamas, OR 97086. The listed phone number is (800) 813-2000.
What is Benjamin Pon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Benjamin Pon enrolled in Medicare?
Yes. Benjamin Pon 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.
Which organization bills Medicare for Benjamin Pon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Pon reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Benjamin Pon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Pon accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Kaiser Permanente list Benjamin Pon 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 Benjamin Pon was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Benjamin Pon, OD · NPI 1851944656
Optometrist provider in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since July 20, 2019.
## Identity
- **NPI:** 1851944656 (Entity type: Individual)
- **Enumerated:** July 20, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4479 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12100 SE STEVENS CT, Clackamas, OR 97086-4707
- **Phone:** (800) 813-2000 · **Fax:** (855) 524-5255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2019
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851944656) · Data from the CMS NPPES public registry.