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JORDAN DRAVITZKI OD
NPI 1922624147
Optometrist in Ellensburg, WA

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
74.04/100
CMS Quality Rating
2201 W DOLARWAY RD, ELLENSBURG, WA 98926(509) 925-1000 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Dravitzki Od NPPES

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

JORDAN DRAVITZKI OD (NPI 1922624147) is an individual optometrist in Ellensburg, Washington, licensed in Washington (61069395) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Southern College Of Optometry (2020).

NPPES Registry Identity

NPI1922624147
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJORDAN DRAVITZKICredential: OD
Location Address2201 W DOLARWAY RDEllensburg, WA 98926-8228
Mailing AddressPo Box 82Stromsburg, NE 68666-0082 · (402) 764-0457
Phone(509) 925-1000
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2020
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1922624147 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 WA · 61069395
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.
2201 W DOLARWAY RD, Ellensburg, WA 98926
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Jordan Dravitzki 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 ID1254755333
PECOS Enrollment IDI20200722001425
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 8

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 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.
631 services515 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.
553 services535 patients
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.
185 services147 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.
98 services89 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
83 services74 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
61 services61 patients

Hospital Affiliations CMS Care Compare

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98926 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

74.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.34
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
53%83 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
90%254 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%233 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
78%3,857 patients3/55-star benchmark: 100%
e-Prescribing
99%563 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 81% · 557 patients
Patients screened: 91% · 557 patients
10%73 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
87%67 patients
Provide Patients Electronic Access to Their Health Information
99%3,625 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
98%109 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

CASEY OLTMAN
Optometrist
2201 W DOLARWAY RD
ELLENSBURG, WA 98926
Kittitas County (509) 925-1000
MR. LEO OLTMAN
Hearing Instrument Specialist
2201 W DOLARWAY RD, SUITE 2
ELLENSBURG, WA 98926
Kittitas County (509) 925-1000
MS. NANCY KAYE SMART M.S., B.S.
Audiologist
2201 W DOLARWAY RD, SUITE 2
ELLENSBURG, WA 98926
Kittitas County (509) 952-5453

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 Jordan Dravitzki's NPI number?

The NPI number for Jordan Dravitzki is 1922624147. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Jordan Dravitzki located?

Jordan Dravitzki practices at 2201 W Dolarway Rd, Ellensburg, WA 98926. The listed phone number is (509) 925-1000.

What is Jordan Dravitzki's specialty?

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

Is Jordan Dravitzki enrolled in Medicare?

Yes. Jordan Dravitzki 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 Jordan Dravitzki accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jordan Dravitzki 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 Jordan Dravitzki affiliated with any hospitals?

According to CMS data, Jordan Dravitzki is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Dravitzki was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.