DR. BENJAMIN PON OD
NPI 1851944656
Optometrist in Clackamas, OR

Q: 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.

Q: What is Benjamin Pon'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 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 11 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.

Active since July 20, 2019PECOS EnrolledAccepts Medicare Assignment

12100 SE STEVENS CT, CLACKAMAS, OR 97086(800) 813-2000(855) 524-5255 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Jul 20, 2019 (2 updates tracked since 2019).

On this page

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

NPI1851944656

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. BENJAMIN PONCredential: OD

Location Address12100 SE STEVENS CTClackamas, OR 97086-4707

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255

Phone(800) 813-2000

Fax(855) 524-5255

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2019

Enumeration DateJuly 20, 2019

Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1851944656 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 OR · 4479

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.

12100 SE STEVENS CT, Clackamas, OR 97086

Open in Google Maps ↗

Secondary Practice Locations 3

Location 130020 SW Boones Ferry Rd Ste 10Wilsonville, OR 97070-8912 · Phone (503) 570-0963

Location 21006 Lloyd CtrPortland, OR 97232-1266 · Phone (503) 282-9752

Location 3970 NW Eastman PkwyGresham, OR 97030-5533 · Phone (503) 666-7460

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Kaiser Permanente.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

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.

PECOS PAC ID3779917539

PECOS Enrollment IDI20200102002481, I20230531002919

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.

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.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 11

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

NATASHA KIM KYE MD

Ophthalmology

12100 SE STEVENS CT
HAPPY VALLEY, OR 97086

Clackamas County (503) 353-7284

MR. PATRICK RAYMOND BUCZKOWSKI OPTICIAN

Technician/Technologist (Optician)

12100 SE STEVENS CT, SUITE 106
HAPPY VALLEY, OR 97086

Clackamas County (503) 353-7300

ZAKARY SCOTT HOFFELT MD

Ophthalmology

12100 SE STEVENS CT, SUITE 106
PORTLAND, OR 97086

Clackamas County (503) 653-1442

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

General Practice

12100 SE STEVENS CT, SUITE 106
PORTLAND, OR 97086

Clackamas County (800) 813-2000

DR. ELISE KARLAN TIMTIM MD

Ophthalmology

12100 SE STEVENS CT
CLACKAMAS, OR 97086

Clackamas County (800) 813-2000

JONATHAN B GREENE MD

Ophthalmology

12100 SE STEVENS CT, SUITE 106
CLACKAMAS, OR 97086

Clackamas County (503) 652-2880

DR. JONATHAN RUSSELL OD

Optometrist

12100 SE STEVENS CT, SUITE 106
CLACKAMAS, OR 97086

Clackamas County (503) 353-7300

DR. VONNY NGANTUNG, D.D.S, M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

12100 SE STEVENS CT, SUITE: 102
HAPPY VALLEY, OR 97086

Clackamas County (503) 659-7455

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.

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 11 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.